扩大非传染性疾病控制：肯尼亚从传染病模式中汲取的经验教训。
SCALING UP NON-COMMUNICABLE DISEASE CONTROL: LESSONS TO BE LEARNT FROM THE INFECTIOUS DISEASE PARADIGM IN KENYA.
作者信息
Njoroge A, Munene K E
机构信息
Kenyatta National Hospital, Research and Programs Department.
University of Nairobi, School of Dentistry, Department of Preventive and Community Dentistry.
出版信息
East Afr Med J. 2015 Dec;92(12):608-611.
Non-communicable diseases (NCD) are emerging as the leading cause of morbidity & mortality globally, with the greatest rise in incidence of cardiovascular disease cases observed in Sub-Saharan Africa. This is in addition to the heavy burden of infectious diseases already present in this setting. Describing the cross-cutting epidemiology of NCDs and infectious diseases with focus on the interaction between tuberculosis and diabetes mellitus, HIV and cardiovascular disease, HIV and cervical cancer as well as assessing the disparities in funding and service delivery systems between NCDs and infectious diseases; we review this rising double burden of infectious and non-infectious diseases and propose four lessons that can be learnt from the HIV response and adapted to inform the scale up of NCD control in Kenya which are also applicable in other African countries.
非传染性疾病（NCD）正在成为全球发病和死亡的主要原因，撒哈拉以南非洲地区心血管疾病病例的发病率上升幅度最大。此外，该地区还存在着已有的沉重传染病负担。本文描述了非传染性疾病和传染病的交叉流行病学，重点关注结核病与糖尿病、艾滋病毒与心血管疾病、艾滋病毒与宫颈癌之间的相互作用，并评估非传染性疾病和传染病在资金和服务提供系统方面的差异；我们审视了这一日益加重的传染病和非传染病双重负担，并提出了四条可从艾滋病毒应对措施中学到的经验教训，这些经验教训可加以调整，为肯尼亚扩大非传染性疾病控制提供参考，在其他非洲国家也同样适用。
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