Prasad Sonya, Bassett Ingrid V, Freeman Esther E
Icahn School of Medicine, The Mount Sinai Hospital, New York, New York.
Department of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Int J Womens Dermatol. 2021 Dec;7(5):653-659. doi: 10.1016/j.ijwd.2021.10.003. Epub 2021 Oct 23.
Over the last decade, there has been a surge in interest and funding for global health dermatology. Skin conditions are now recognized as the fourth leading cause of nonfatal disease burden worldwide in disability-adjusted life years. Dermatologists are uniquely positioned within global health because skin conditions are often the presenting sign of severe illnesses, such as neglected tropical diseases and COVID-19.
We review four major areas of work by dermatologists within global health: i) characterization of global burden of skin disease, ii) advocacy for dermatologic therapies on the World Health Organization's Model List of Essential Medicines, iii) advancements in global programming for skin-related tropical diseases, and iv) the role of dermatologists during the COVID-19 pandemic. For each area of work, the significance and impact on the health of women and girls is briefly highlighted.
Dermatologists have led the efforts to quantify and evaluate the global burden of skin disease, the burden of which is disproportionately shared by women. The dermatology community has also championed global efforts to eliminate skin-related neglected tropical diseases, such as scabies. Through national and international policy advocacy, dermatologists have pushed for more dermatologic therapies in the World Health Organization's Model List of Essential Medicines, helping to secure better care for patients with skin disease throughout the world. Since 2020, the dermatology community has worked collaboratively in the fight against COVID-19, establishing a worldwide registry for cutaneous manifestations of SARS-CoV-2 and pursuing research that has allowed colleagues in the house of medicine to better understand this landmark disease.
Through the study and promotion of global health, dermatologists have an important role in the house of medicine.
在过去十年中，全球健康皮肤病学的关注度和资金投入激增。皮肤疾病目前被认为是全球非致命疾病负担的第四大主要原因（以伤残调整生命年计算）。皮肤科医生在全球健康领域具有独特地位，因为皮肤疾病往往是严重疾病的表现症状，如被忽视的热带病和新冠肺炎。
我们回顾了皮肤科医生在全球健康领域的四个主要工作领域：i）皮肤病全球负担的特征描述；ii）在世界卫生组织基本药物示范清单上倡导皮肤科治疗药物；iii）皮肤相关热带病全球规划的进展；iv）皮肤科医生在新冠肺炎疫情期间的作用。对于每个工作领域，简要强调了其对妇女和女童健康的意义和影响。
皮肤科医生率先努力量化和评估皮肤病的全球负担，而这种负担在女性中分布不均。皮肤科界还支持全球消除与皮肤相关的被忽视热带病的努力，如疥疮。通过国家和国际政策倡导，皮肤科医生推动在世界卫生组织基本药物示范清单中纳入更多皮肤科治疗药物，有助于为全球皮肤病患者提供更好的治疗。自2020年以来，皮肤科界在抗击新冠肺炎疫情中开展了合作，建立了一个关于SARS-CoV-2皮肤表现的全球登记册，并进行了相关研究，使医学界的同行能够更好地了解这一具有里程碑意义的疾病。
通过对全球健康的研究和推广，皮肤科医生在医学界发挥着重要作用。
