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建立全球血吸虫病联盟:携手应对不平等与农村贫困的契机。

Building a global schistosomiasis alliance: an opportunity to join forces to fight inequality and rural poverty.

作者信息

Savioli Lorenzo, Albonico Marco, Colley Daniel G, Correa-Oliveira Rodrigo, Fenwick Alan, Green Will, Kabatereine Narcis, Kabore Achille, Katz Naftale, Klohe Katharina, LoVerde Philip T, Rollinson David, Stothard J Russell, Tchuem Tchuenté Louis-Albert, Waltz Johannes, Zhou Xiao-Nong

机构信息

Global Schistosomiasis Alliance, Geneva, Switzerland.

Center for Tropical Diseases, Sacro Cuore Hospital - WHO Collaborating Centre on strongyloidiasis and other intestinal parasitic infections, Negrar, Verona, Italy.

出版信息

Infect Dis Poverty. 2017 Mar 23;6(1):65. doi: 10.1186/s40249-017-0280-8.

Abstract

Schistosomiasis, one of the 17 neglected tropical diseases listed by the World Health Organization, presents a substantial public health and economic burden. Of the 261 million people requiring preventive chemotherapy for schistosomiasis in 2013, 92% of them lived in sub-Saharan Africa and only 12.7% received preventive chemotherapy. Moreover, in 2010, the WHO reported that schistosomiasis mortality could be as high as 280 000 per year in Africa alone.In May 2012 delegates to the sixty-fifth World Health Assembly adopted resolution WHA65.21 that called for the elimination of schistosomiasis, and foresees the regular treatment of at least 75% of school age children in at-risk areas. The resolution urged member states to intensify schistosomiasis control programmes and to initiate elimination campaigns where possible.Despite this, in June 2015, schistosomiasis was indicated to have the lowest level of preventive chemotherapy implementation in the spectrum of neglected tropical diseases. It was also highlighted as the disease most lacking in progress. This is perhaps unsurprising, given that it was also the only NTD with access to drug donations but without a coalition of stakeholders that collaborates to boost commitment and implementation.As a consequence, and to ensure that the WHO NTDs Roadmap Targets of 2012 and World Health Assembly Resolution WHA65.21 are met, the Global Schistosomiasis Alliance (GSA) has been set up. Diverse and representative, the GSA aims to be a partnership of endemic countries, academic and research institutions, international development agencies and foundations, international organizations, non-governmental development organizations, private sector companies and advocacy and resource mobilisation partners. Ultimately, the GSA calls for a partnership to work for the benefit of endemic countries by addressing health inequity and rural poverty.

摘要

血吸虫病是世界卫生组织列出的17种被忽视的热带病之一,带来了沉重的公共卫生和经济负担。2013年,有2.61亿人需要接受血吸虫病预防性化疗,其中92%生活在撒哈拉以南非洲,只有12.7%的人接受了预防性化疗。此外,2010年世界卫生组织报告称,仅在非洲,血吸虫病导致的死亡率每年可能高达28万。2012年5月,第六十五届世界卫生大会的代表通过了WHA65.21号决议,呼吁消除血吸虫病,并预计对高危地区至少75%的学龄儿童进行定期治疗。该决议敦促会员国加强血吸虫病控制项目,并在可能的情况下发起消除运动。尽管如此,2015年6月的数据表明,在被忽视的热带病范围内,血吸虫病预防性化疗的实施水平最低。它还被强调为进展最为缓慢的疾病。考虑到它也是唯一一种能获得药品捐赠但却没有利益相关者联盟来共同促进承诺和实施的被忽视热带病,这或许并不奇怪。因此,为确保实现世界卫生组织2012年被忽视热带病路线图目标以及世界卫生大会WHA65.21号决议,全球血吸虫病联盟(GSA)成立了。全球血吸虫病联盟具有多样性和代表性,旨在成为一个由流行国家、学术和研究机构、国际发展机构和基金会、国际组织、非政府发展组织、私营部门公司以及宣传和资源调动伙伴组成的伙伴关系。最终,全球血吸虫病联盟呼吁建立一种伙伴关系,通过解决健康不平等和农村贫困问题,为流行国家谋福祉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7573/5363045/698f7c2857ee/40249_2017_280_Fig1_HTML.jpg

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