De Cock K M, Lucas S B, Mabey D, Parry E
London School of Hygiene and Tropical Medicine.
BMJ. 1995 Sep 30;311(7009):860-2. doi: 10.1136/bmj.311.7009.860.
The specialty of tropical medicine originated from the needs of the colonial era and is removed from many of the health care requirements of tropical countries today. Tropical medicine concentrates on parasitic diseases of warm climates, although other infections and diseases related to poverty rather than climate dominate medicine in developing countries challenged by population pressure, civil strife, and migration. In the new century, tropical medicine would best be absorbed into the specialty of infectious diseases, which should incorporate parasitic diseases, travel medicine, and sexually transmitted diseases. Pressing questions for health care and research in developing countries concern the provision of appropriate services for problems such as HIV/AIDS, tuberculosis, sexually transmitted diseases, and injuries. The question of how to provide appropriate clinical care in resource poor settings for the major causes of morbidity and premature mortality has been neglected by donors, academic institutions, and traditional tropical medicine.
热带医学专业起源于殖民时代的需求，与当今热带国家的许多医疗保健需求脱节。热带医学专注于温暖气候下的寄生虫病，尽管在受到人口压力、内乱和移民挑战的发展中国家，其他与贫困而非气候相关的感染和疾病在医学中占主导地位。在新世纪，热带医学最好被纳入传染病专业，传染病专业应涵盖寄生虫病、旅行医学和性传播疾病。发展中国家医疗保健和研究面临的紧迫问题涉及为诸如艾滋病毒/艾滋病、结核病、性传播疾病和伤害等问题提供适当服务。捐助者、学术机构和传统热带医学忽视了如何在资源匮乏的环境中为发病率和过早死亡率的主要原因提供适当临床护理的问题。
