Center for Experimental and Molecular Medicine, Amsterdam UMC, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK; Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.
Lancet Infect Dis. 2022 Jun;22(6):e176-e182. doi: 10.1016/S1473-3099(21)00394-7. Epub 2021 Dec 23.
Melioidosis is a tropical infection caused by the soil bacterium Burkholderia pseudomallei. Despite the substantial impact of this often overlooked pathogen on both the health-care systems and economies of numerous low-income and middle-income countries around the world, melioidosis is not officially classified as a neglected tropical disease (NTD) by WHO. Melioidosis causes a higher estimated disease burden and mortality than many other recognised NTDs, with deaths primarily occurring among rural poor populations in low-income and middle-income countries. Fortunately, the impact of melioidosis in a region can be reduced once awareness is established of its known or suspected endemicity. In this Personal View, we provide evidence in support of official recognition of melioidosis as an NTD. We urge member states to request that WHO revisit their NTD list and appeal to government and philanthropic organisations to establish programmes in endemic countries to control melioidosis in order to reduce its global health burden.
类鼻疽是一种热带感染病,由土壤细菌伯克霍尔德菌引起。尽管这种常被忽视的病原体对全球许多低收入和中等收入国家的医疗保健系统和经济造成了重大影响,但世界卫生组织并未将类鼻疽正式列为被忽视的热带病(NTD)。类鼻疽造成的疾病负担和死亡率估计比许多其他被承认的 NTD 更高,死亡主要发生在低收入和中等收入国家的农村贫困人群中。幸运的是,一旦了解到其已知或疑似地方性,就可以降低该区域类鼻疽的影响。在本个人观点中,我们提供了支持将类鼻疽正式确认为 NTD 的证据。我们敦促会员国要求世卫组织重新审查其 NTD 清单,并呼吁政府和慈善组织在流行国家建立项目,以控制类鼻疽,从而减轻其全球健康负担。