Molyneux David H
Centre for Neglected Tropical Diseases, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK
Int Health. 2014 Sep;6(3):172-80. doi: 10.1093/inthealth/ihu037. Epub 2014 Jun 26.
Neglected tropical diseases (NTDs) have become recognised as important health problems facing at least a billion people in the low-income countries and the poorest communities in middle-income countries. WHO plays a leading role in developing strategies to address these diseases, pharmaceutical companies provide drug donations to treat or control the NTDs and many partners from different constituencies have become increasingly committed to their control or elimination. This review looks to the post-2015 agenda and emphasises that despite the progress made over recent years, if the targets established are to be achieved, then not only will additional financial resources be required to up-scale treatments and increase access, but increased applied and operational research will be necessary to address problems and human capacity in NTD skills will need to be strengthened. Continuing advocacy for the relevance of control or elimination of NTDs must be placed in the context of universal health coverage and access to donated essential medicines for the poor as a right. The evidence that investment in NTD interventions are cost-effective and impact not only on health, but also to enhance socio-economic development, must be refined and promulgated. The global burden of disease attributable to NTDs requires reassessment to appropriately define the true burden, while the potential for unexpected events, political, climatic, environmental as well as biological, have the potential to reduce future progress towards the agreed post-2015 targets. NTD progress towards the WHO Roadmap targets and the fulfilment of the World Health Assembly Resolution 66.12 of 2013 demand continued commitment from all partner constituencies when challenges emerge.
被忽视的热带病已被公认为低收入国家以及中等收入国家最贫困社区中至少十亿人所面临的重要健康问题。世卫组织在制定应对这些疾病的战略方面发挥着主导作用,制药公司提供药品捐赠以治疗或控制被忽视的热带病,许多来自不同领域的伙伴也越来越致力于对这些疾病的控制或消除。本综述着眼于2015年后议程,并强调尽管近年来已取得进展,但要实现既定目标,不仅需要额外的财政资源来扩大治疗规模并增加可及性,而且还需要加强应用研究和操作研究以解决问题,同时需要加强被忽视的热带病领域的人力技能。必须将对控制或消除被忽视的热带病相关性的持续宣传置于全民健康覆盖以及穷人有权获得捐赠基本药物的背景下。必须完善并公布有关投资于被忽视的热带病干预措施具有成本效益且不仅影响健康、还能促进社会经济发展的证据。需要重新评估由被忽视的热带病造成的全球疾病负担,以适当界定真正的负担,而政治、气候、环境以及生物等意外事件有可能阻碍未来在实现2015年后商定目标方面取得进展。在面临挑战时,各伙伴领域需要继续致力于实现被忽视的热带病朝着世卫组织路线图目标的进展以及落实2013年世界卫生大会第66.12号决议。