Payne Robert J H, Turner Laura, Morgan Eric R
School of Biological Sciences, University of Bristol, Woodland Road, Bristol, BS8 1UG, UK.
Trends Parasitol. 2009 Sep;25(9):393-5. doi: 10.1016/j.pt.2009.05.013. Epub 2009 Aug 31.
The dominant metric for setting public health priorities, the disability-adjusted life year (DALY), is unsuited to parasitic infections. In particular, the current DALY framework fails to acknowledge the non-linear pathologies of infection, the community level dynamics of epidemiology and the co-morbidities of polyparasitism. Parasitologists must urgently provide a better way of accounting for the true costs of parasitic disease.
用于确定公共卫生优先事项的主要指标——伤残调整生命年（DALY）并不适用于寄生虫感染。特别是，当前的DALY框架未能认识到感染的非线性病理、流行病学的社区层面动态以及多重寄生虫感染的合并症。寄生虫学家必须迫切提供一种更好的方法来核算寄生虫病的真实成本。
