Department of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
Division of International Science Policy, Planning and Evaluation and Center for Global, Health Studies, Fogarty International Center, National Institutes of Health, Bethesda, Maryland 20892, USA.
Nature. 2015 Nov 19;527(7578):S151-4. doi: 10.1038/nature16028.
This is an exciting time for scientific discovery that aims to reduce the frequency and impact of neurological, mental health and substance-use disorders. As it became increasingly clear that low- and middle-income countries have a disproportionate share of these disorders, and that many of the problems are best addressed by indigenous researchers who can seek context-sensitive solutions, the US National Institutes of Health and other research funders began to invest more in low- and middle-income country-focused research and research capacity-building to confront this significant public health challenge. In an effort to identify existing information, knowledge gaps, and emerging research and research capacity-building opportunities that are particularly relevant to low- and middle-income countries, in February 2014 the Center for Global Health Studies at the National Institutes of Health Fogarty International Center held a workshop to explore these issues with scientific experts from low- and middle-income countries and the United States. This evolved into the preparation of the Reviews in this supplement, which is designed to highlight opportunities and challenges associated with topical areas in brain-disorders research over the coming decade. This Introduction highlights some of the over-arching and intersecting priorities for addressing causes, prevention, treatment and rehabilitation as well as best practices to promote overall nervous system health. We review some brain disorders in low- and middle-income countries, while the Reviews describe relevant issues and the epidemiology of particular conditions in greater depth.
这是科学发现的激动人心时刻,旨在减少神经、心理健康和物质使用障碍的发生频率和影响。由于越来越明显的是,中低收入国家在这些疾病中所占比例过高,而许多问题最好由能够寻求与背景相关的解决方案的本土研究人员来解决,美国国立卫生研究院和其他研究资助者开始更多地投资于以中低收入国家为重点的研究和研究能力建设,以应对这一重大公共卫生挑战。为了确定与中低收入国家特别相关的现有信息、知识差距以及新兴研究和研究能力建设机会,2014 年 2 月,美国国立卫生研究院福格蒂国际中心全球卫生研究中心举办了一次研讨会,与来自中低收入国家和美国的科学专家探讨这些问题。这演变成了本增刊中评论的准备工作,旨在强调未来十年与大脑疾病研究相关领域的机会和挑战。本引言强调了与解决病因、预防、治疗和康复以及促进整个神经系统健康的最佳实践相关的一些总体优先事项。我们回顾了中低收入国家的一些脑部疾病,而评论则更深入地描述了相关问题和特定疾病的流行病学。