Bradley D J
Department of Epidemiology and Population Sciences, London School of Hygiene and Tropical Medicine, UK.
Schweiz Med Wochenschr. 1997 Sep 27;127(39):1592-7.
The weight of disease in developing countries may be viewed as a burden, but it also provides opportunities and challenges in research, practical and altruistic action and ecological understanding. Of the classical parasitic diseases, 10 are to be found in the top 100 major diseases in the world. The burden of tropical diseases is much greater in Africa, with far fewer resources available. Infectious diseases are combined with diseases of poverty. High fertility, slow economic growth, deforestation, rapid urbanization and increased migration contribute to the recent changes in transmission and distribution of diseases observed in developing countries. The burden of diseases in tropical and developing countries remains massive. New, especially molecular, parasitological techniques and lines of research, and scientific methods for investigations and management of tropical diseases can contribute to the reduction of the burden of disease while providing a better understanding of parasites and their interactions with their hosts.
发展中国家的疾病负担或许可被视为一种重负,但它也在研究、实际行动、利他行为以及生态理解方面带来了机遇与挑战。在世界排名前100的主要疾病中,有10种典型寄生虫病。非洲的热带疾病负担要大得多,而可用资源却少得多。传染病与贫困相关疾病交织在一起。高生育率、经济增长缓慢、森林砍伐、快速城市化以及移民增加,都促成了发展中国家近期所观察到的疾病传播和分布变化。热带和发展中国家的疾病负担依然沉重。新的,尤其是分子寄生虫学技术和研究方向,以及热带疾病调查与管理的科学方法,有助于减轻疾病负担,同时增进对寄生虫及其与宿主相互作用的理解。