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预测 COVID-19 对被忽视热带病规划的影响及创新机会

Predicted Impact of COVID-19 on Neglected Tropical Disease Programs and the Opportunity for Innovation.

机构信息

Big Data Institute, Li Ka Shing Centre for Health Information and Discovery, Oxford, United Kingdom.

Department of Tropical Disease Biology, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.

出版信息

Clin Infect Dis. 2021 Apr 26;72(8):1463-1466. doi: 10.1093/cid/ciaa933.

Abstract

Due to the COVID-19 pandemic, many key neglected tropical disease (NTD) activities have been postponed. This hindrance comes at a time when the NTDs are progressing towards their ambitious goals for 2030. Mathematical modelling on several NTDs, namely gambiense sleeping sickness, lymphatic filariasis, onchocerciasis, schistosomiasis, soil-transmitted helminthiases (STH), trachoma, and visceral leishmaniasis, shows that the impact of this disruption will vary across the diseases. Programs face a risk of resurgence, which will be fastest in high-transmission areas. Furthermore, of the mass drug administration diseases, schistosomiasis, STH, and trachoma are likely to encounter faster resurgence. The case-finding diseases (gambiense sleeping sickness and visceral leishmaniasis) are likely to have fewer cases being detected but may face an increasing underlying rate of new infections. However, once programs are able to resume, there are ways to mitigate the impact and accelerate progress towards the 2030 goals.

摘要

由于 COVID-19 大流行,许多关键的被忽视热带病(NTD)活动被推迟。这一阻碍发生在 NTD 朝着 2030 年雄心勃勃的目标推进之际。对几种 NTD (冈比亚昏睡病、淋巴丝虫病、盘尾丝虫病、血吸虫病、土源性线虫病、沙眼和内脏利什曼病)进行的数学建模表明,这种中断的影响将因疾病而异。各项目面临着复发的风险,在高传播地区,这种风险将最快出现。此外,在大规模药物治疗疾病中,血吸虫病、土源性线虫病和沙眼很可能更快地复发。病例发现疾病(冈比亚昏睡病和内脏利什曼病)可能发现的病例较少,但可能面临新感染的潜在率不断增加。然而,一旦项目能够恢复,就有办法减轻影响并加速实现 2030 年目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bba0/8075032/133987433ae3/ciaa933f0001.jpg

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