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人畜共患寄生虫病的全球疾病负担:优先考虑的五大竞争者

The Global Burden of Disease of Zoonotic Parasitic Diseases: Top 5 Contenders for Priority Consideration.

作者信息

Pisarski Konrad

机构信息

Division of Tropical Health & Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4814, Australia.

Faculty of Medicine, University of Queensland, Herston, St Lucia, QLD 4072, Australia.

出版信息

Trop Med Infect Dis. 2019 Mar 2;4(1):44. doi: 10.3390/tropicalmed4010044.

Abstract

With the rise of global migration, international trade, and global environmental challenges such as climate change, it is not surprising that the interactions between humans and other animals are shifting. Salient infectious diseases, such as malaria and HIV (which have high burdens of disease), attract sophisticated public health frameworks and funding from global/regional organisations, such as the WHO. This unfortunately detracts attention from the many emerging zoonoses that fall under the radar as neglected tropical diseases (NTDs). This review considers the available literature and the attribution of burden of disease to the most insidious NTDs and recommends which five are deserving of policy prioritisation. In line with WHO analyses of NTDs, intestinal nematode infections, leishmaniasis, schistosomiasis, and lymphatic filariasis should be prioritised, as well as the burden of disease of cryptosporidiosis, which is largely underestimated. Both monitoring and treatment/prevention control methods for cryptosporidiosis are suggested and explored.

摘要

随着全球移民、国际贸易的增加以及气候变化等全球环境挑战的出现,人类与其他动物之间的互动正在发生变化也就不足为奇了。诸如疟疾和艾滋病毒(疾病负担沉重)等突出的传染病吸引了复杂的公共卫生框架以及来自世界卫生组织等全球/区域组织的资金。不幸的是,这转移了人们对许多作为被忽视热带病(NTDs)而未被关注的新兴人畜共患病的注意力。本综述考虑了现有文献以及疾病负担归因于最隐匿的被忽视热带病,并推荐了哪五种疾病值得政策优先关注。根据世界卫生组织对被忽视热带病的分析,肠道线虫感染、利什曼病、血吸虫病和淋巴丝虫病应被优先考虑,还有隐孢子虫病的疾病负担,其在很大程度上被低估了。文中建议并探讨了隐孢子虫病的监测以及治疗/预防控制方法。

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