Kessler Foundation Research Center, West Orange, NJ, USA.
Neurology. 2012 Nov 20;79(21):2146-7. doi: 10.1212/WNL.0b013e3182752cdb.
India, the world's second most populous country, is facing the emergence of a hitherto "hidden" epidemic: neurologic disability. The rapid economic, demographic, and social transformation of India in recent decades has already resulted in the double burden of unresolved epidemics of infectious diseases (e.g., malaria, tuberculosis) coupled with rising rates of chronic diseases (e.g., cardiovascular diseases). Neurologic disability is likely to join these public health concerns as a third epidemic, largely due to 3 emerging health trends: 1) an increase in traumatic brain injuries (TBI) from road traffic accidents (RTA); 2) an increase in the incidence of age-related dementia; and 3) an increase in the stroke incidence. Without adequate preparation, the treatment and long-term care for an increasing population of neurologically disabled people will strain India's health care system and economy in the coming years in unprecedented ways.
印度是世界上人口第二多的国家,目前正面临一种迄今“隐藏”的疾病:神经功能障碍。近几十年来,印度经济、人口和社会的快速转型,已经导致了尚未解决的传染病(如疟疾、结核病)和慢性疾病(如心血管疾病)双重负担的出现。神经功能障碍很可能会像第三种传染病一样成为公共卫生关注点,主要是因为 3 种新出现的健康趋势:1)道路交通伤害(RTA)导致的创伤性脑损伤(TBI)增加;2)与年龄相关的痴呆发病率增加;3)中风发病率增加。如果没有充分的准备,那么在未来几年,印度不断增加的神经功能障碍患者的治疗和长期护理将以前所未有的方式给印度的医疗体系和经济带来压力。