Engelman Daniel, Fuller L Claire, Solomon Anthony W, McCarthy James S, Hay Roderick J, Lammie Patrick J, Steer Andrew C
Centre for International Child Health, University of Melbourne, Melbourne, Australia; Group A Streptococcal Research, Murdoch Childrens Research Institute, Melbourne, Australia.
Chelsea and Westminster Hospital, London, UK; International Foundation for Dermatology, London, UK.
Trends Parasitol. 2016 Nov;32(11):843-854. doi: 10.1016/j.pt.2016.08.005. Epub 2016 Sep 13.
Many neglected tropical diseases (NTDs) affect the skin, causing considerable disability, stigma, and exacerbation of poverty. However, there has been relatively little investment into laboratory research, epidemiology, diagnostic tools or management strategies to control tropical skin disease. Integration may advance the control of skin disease across a range of domains, including mapping, diagnosis, clinical management, and community control measures such as mass drug administration. Examples of successful integration strategies include programs targeting scabies, impetigo, yaws, and diseases causing lymphoedema. Future strategies should build on these experiences and the experience of integration of other NTDs, strengthen existing health systems, and contribute toward the attainment of Universal Health Coverage. Strong partnerships and political support and will be necessary to achieve these goals.
许多被忽视的热带病会影响皮肤,导致严重的残疾、污名化以及贫困加剧。然而,在控制热带皮肤病的实验室研究、流行病学、诊断工具或管理策略方面的投资相对较少。整合可能会在一系列领域推动皮肤病的控制,包括绘图、诊断、临床管理以及社区控制措施,如大规模药物给药。成功的整合策略示例包括针对疥疮、脓疱病、雅司病以及导致淋巴水肿的疾病的项目。未来的策略应基于这些经验以及其他被忽视热带病的整合经验,加强现有的卫生系统,并为实现全民健康覆盖做出贡献。要实现这些目标,强大的伙伴关系以及政治支持和意愿将必不可少。