Vectors, Environment and Society Unit, Special Programme for Research and Training in Tropical Diseases (TDR), World Health Organization (WHO), 20, avenue Appia, CH-1211, Geneva 27, Switzerland.
Maladies Infectieuses et Vecteurs: Ecologie, Génétique, Evolution et Controle (MIVEGEC), IRD-CNRS University of Montpellier, Montpellier, France.
Infect Dis Poverty. 2018 Sep 3;7(1):94. doi: 10.1186/s40249-018-0462-z.
More than half of the world's population currently lives in urban settlements that grow both in size and number. By 2050, approximately 70% of the global population will be living in urban conglomerations, mainly in low- and middle-income countries. Mobility, poverty, different layers of inequalities as well as climate variability and change are some of the social and environmental factors that influence the exposure of human populations in urban settings to vector-borne diseases, which pose eminent public health threats. Accurate, consistent, and evidence-based interventions for prevention and control of vector-borne and other infectious diseases of poverty in urban settings are needed to implement innovative and cost-effective public policy and to promote inclusive and equitable urban health services.
While there is growing awareness of vector-borne diseases epidemiology at the urban level, there is still a paucity of research and action being undertaken in this area, hindering evidence-based public health policy decisions and practice and strategies for active community engagement. This paper describes the collaboration and partnership of the Special Programme for Research and Training in Tropical Diseases (TDR) hosted by the World Health Organization (WHO) and the "VEctor boRne DiseAses Scoping reviews" (VERDAS) Research Consortium as they joined efforts in response to filling this gap in knowledge and evidence by supporting the development of a series of scoping reviews that highlight priority research gaps and policy implications to address vector-borne and other infectious diseases at the urban level.
The set of scoping reviews proposed in this special issue presents a critical analysis of the state-of-the-art of research on urban health interventions for the prevention and control of vector-borne and other infectious diseases of poverty. The authors of the 6 reviews highlighted severe gaps in knowledge and identified organizational and theoretical limitations that need to be urgently tackled to improve cities preparedness and vector control response. The more pressing need at present is to ensure that more implementation research on vector-borne diseases in urban settings is conducted, addressing policy and practice implications and calling for more political commitment and social mobilization through adequate citizen engagement strategies.
目前,全球超过一半的人口居住在不断扩大和增多的城市聚居区。到 2050 年,全球大约 70%的人口将居住在城市聚居区,主要是在中低收入国家。人口流动、贫困、不同层次的不平等以及气候多变性和变化等都是一些社会和环境因素,这些因素影响着城市人口接触虫媒传染病的程度,对公共卫生构成严重威胁。需要采取准确、一致和基于证据的干预措施,预防和控制城市环境中的虫媒传染病和其他贫困相关传染病,以便实施创新和具有成本效益的公共政策,并促进包容和平等的城市卫生服务。
尽管人们越来越意识到城市层面的虫媒传染病流行病学,但在这一领域开展的研究和行动仍然很少,这阻碍了基于证据的公共卫生政策决策和实践以及积极社区参与的战略。本文介绍了世界卫生组织(世卫组织)下属热带病研究和培训特别规划署(热带病特别规划署)与“虫媒病毒病范围综述”(VERDAS)研究联盟的合作与伙伴关系,它们共同努力填补这一知识和证据空白,通过支持开展一系列范围综述来支持开发一系列范围综述,这些综述突出了优先研究差距和政策影响,以解决城市层面的虫媒传染病和其他传染病。
本期特刊中提出的一系列范围综述对预防和控制城市贫困中的虫媒传染病和其他传染病的城市卫生干预措施的研究现状进行了批判性分析。这 6 篇综述的作者强调了知识的严重差距,并确定了需要紧急解决的组织和理论限制,以提高城市的准备和病媒控制应对能力。目前更紧迫的需要是确保在城市环境中开展更多的虫媒传染病实施研究,解决政策和实践影响,并呼吁通过适当的公民参与战略,需要更多的政治承诺和社会动员。