neglected tropical diseases

被忽视的热带病
  • 文章类型: Letter
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  • 文章类型: Case Reports
    我们描述了一名免疫功能低下的荷兰男性的麻风病病例,其父母出生于麻风病流行国家。因此,在麻风分枝杆菌感染的个体中使用免疫抑制药物会增加麻风病发展的风险。年轻时通过父母接触和感染是另一个可能的风险因素。
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  • 文章类型: Journal Article
    在欧洲,由墨西哥利什曼原虫引起的美国皮肤利什曼病是一种罕见的进口疾病。与过去二十年相比,2023年的一系列六起案件在我们的机构中是一个值得注意的升级。这一激增可能与墨西哥东南部病例的增加和环境变化有关。
    In Europe, American cutaneous leishmaniasis caused by Leishmania mexicana is a rare imported disease. A series of six cases in 2023 is a noteworthy escalation at our institutions compared to the past two decades. This surge is likely linked to an increase of cases and environmental changes in South-Eastern Mexico.
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  • 文章类型: Case Reports
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  • 文章类型: English Abstract
    眼皮肤白化病(OCA)是遗传传播的。在本文中,我们主张将这种疾病纳入WHO的NTD清单。OCA2型是撒哈拉以南非洲最常见的白化病,喀麦隆的Bamileke患病率为7900人中的1人,南非3900人中有1人,尼日利亚伊博斯人中有1100人中有1人,相比之下,非洲裔美国人的患病率为1/10,000,白人美国人和欧洲人的患病率为1/36,000。与眼科方面相关的医疗问题(视力不佳,屈光不正,眼球震颤,畏光)和白化病的皮肤病学方面(对太阳紫外线的敏感性和皮肤癌的发展)是众所周知的。然而,对于撒哈拉以南非洲地区的白化病患者来说,他们的管理往往是一个挑战,因为他们的经济负担和难以获得医疗专家。在许多非洲国家,患有白化病的人也经常是社会的主体,文化,medical,道德和经济歧视,这会限制他们接受教育的机会,就业和社区生活。他们被认为是“非洲白人”,中介和不完整,与生俱来的善与恶的力量。这种特殊性使患有白化病的人成为肢解和/或仪式攻击的目标,目的是利用他们的身体部位来准备护身符以带来好运,健康或繁荣。2013年6月13日,由于加拿大非政府组织在同一阳光下和非洲白化病协会的游说,包括教科文组织和世界卫生组织(WHO)在内的联合国机构作出了回应,并投票通过了解决歧视和袭击问题的决议。此后,该日期已成为国际白化病意识日,每年都以不同的主题庆祝,并产生巨大的活力和影响,尤其是法国人,撒哈拉以南非洲的英语和葡萄牙语白化病协会。2015年,人权理事会设立了白化病独立专家的职位,以更好地收集和分析世界各地白化病患者的权利数据。尤其是在发生仪式攻击的国家。因此,白化病协会和当局收集的数据直接提交给联合国人权理事会。尽管国际上对白化病患者的袭击给予了关注,最大的威胁之一是皮肤癌,这往往会导致早逝。2022年,世卫组织启动了一个战略框架,以控制和管理被忽视的皮肤相关热带病,这是将眼皮肤白化病纳入NTD的另一个原因。尽管目前的重点仅限于传染性皮肤病,我们在此主张眼皮肤白化病在NTDs中的整合,因为撒哈拉以南非洲地区这些癌的致死性是众所周知的,并且已经在许多医学出版物中进行了研究.这里,我们建议将撒哈拉以南非洲的眼皮肤白化病归类为NTD,以帮助白化病患者获得健康,经济,社会和文化权利。
    Oculocutaneous albinism (OCA) is genetically transmitted. In this paper we advocate for this disease to be included in the NTD list of the WHO. OCA type 2 is the most common form of albinism in sub-Saharan Africa, with a prevalence of 1 in 7900 among the Bamileke of Cameroon, 1 in 3900 in South Africa and 1 in 1100 among the Ibos of Nigeria, as compared to a prevalence of 1 in 10,000 among African Americans and 1 in 36,000 among White Americans and Europeans. The medical problems related to ophthalmological aspects (poor visual acuity, ametropia, nystagmus, photophobia) and dermatological aspects of albinism (sensitivity to UV rays from the sun and development of skin cancers) are well known. However, their management is often challenging for persons with albinism in sub-Saharan Africa because of their financial burden and the difficulty of accessing medical specialists. In many African countries, persons with albinism are also very often the subject of social, cultural, medical, moral and economic discrimination, which can limit their access to education, employment and community life. They are considered \'white Africans\', intermediary and incomplete, with innate powers for good and evil. This particularity has made persons with albinism the targets of mutilations and/or ritual attacks for the purposes of using their body parts in the preparation of charms to bring good luck, health or prosperity. On 13 June 2013, as a result of lobbying by the Canadian NGO Under the Same Sun and African albinism associations, United Nations bodies including UNESCO and the WHO (World Health Organization) responded and a Resolution addressing the discrimination and attacks was voted in. The date has since become International Albinism Awareness Day and is celebrated on a different theme each year with great energy and impact, especially by French, English and Portuguese speaking albinism associations across sub-Saharan Africa. In 2015 the Human Rights Council created the position of Independent Expert on Albinism to better collect and analyse data on the rights of persons with albinism around the world, and especially in countries where ritual attacks occur. The data collected by albinism associations and the authorities thus go directly to the UN Human Rights Directorate. Despite this international attention to the attacks on persons with albinism, one of the biggest threats is skin cancer, which very often leads to early death. In 2022, the WHO launched a strategic framework for the control and management of neglected skin-related neglected tropical diseases - an additional reason to include oculocutaneous albinism as an NTD. Although the focus is currently limited to dermatoses of an infectious nature, we argue here for the integration of oculocutaneous albinism among NTDs because the deadliness of these carcinomas in sub-Saharan Africa is well-known and has been examined in a number of medical publications. Here, we propose that oculocutaneous albinism in sub-Saharan Africa be classified as an NTD to help people with albinism have access to health, economic, social and cultural rights.
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  • 文章类型: Case Reports
    皮肤幼虫偏头痛(CLM)是由钩虫寄生幼虫的入侵和迁移引起的皮炎,主要影响热带和亚热带地区。本报告介绍了一名尼泊尔儿童的CLM病例,并概述了有关这种情况的文献。
    一个来自尼泊尔农村地区的4岁男孩左脚出现瘙痒性皮肤损伤,最初误诊为真菌感染。病变逐渐扩大,形成浆液性红斑,变得强烈瘙痒。病人的家庭社会经济状况很差,这个孩子经常赤脚走在一个有许多家犬和流浪狗的地方。临床确诊,口服阿苯达唑和抗组胺药治疗可完全缓解症状。
    CLM是一种被忽视的人畜共患疾病,由于漏报和误诊,发展中国家的负担被低估了。Ancylostomaspp的幼虫。是常见的罪魁祸首,当它们通过皮肤迁移时引起局部炎症反应。诊断主要是临床和常规检查通常没有异常。并发症可能包括继发细菌感染,过敏,和罕见的内脏器官迁移。治疗选择包括阿苯达唑或伊维菌素,强调卫生的预防措施,鞋类使用,和宠物驱虫。
    CLM是一种被忽视的疾病,主要影响热带地区的边缘化社区。提高医疗保健提供者的认识,进行观察性研究,并制定治疗指南,尤其是对儿童来说,是解决这一公共卫生问题的重要步骤。预防性努力,例如促进卫生和鞋类使用,应鼓励降低CLM发生率。
    UNASSIGNED: Cutaneous larva migrans (CLM) is a dermatitis caused by the invasion and migration of parasitic larvae of hookworms, primarily affecting tropical and subtropical regions. This report presents a case of CLM in a Nepali child and provides an overview of the literature on this condition.
    UNASSIGNED: A 4-year-old boy from a rural area in Nepal presented with a pruritic skin lesion on his left foot, initially misdiagnosed as fungal infection. The lesion gradually expanded, forming a serpiginous erythema, and became intensely pruritic. The patient\'s family had poor socioeconomic conditions, and the child frequently walked barefoot in an area with many domestic and stray dogs. Diagnosis was confirmed clinically, and treatment with oral albendazole and antihistamines resulted in complete resolution of symptoms.
    UNASSIGNED: CLM is a neglected zoonotic disease, with an underestimated burden in developing countries due to underreporting and misdiagnosis. The larvae of Ancylostoma spp. are common culprits, causing a localized inflammatory reaction as they migrate through the skin. Diagnosis is mainly clinical and routine investigations usually reveal no abnormality. Complications may include secondary bacterial infections, allergies, and rare migration to internal organs. Treatment options include albendazole or ivermectin, with preventive measures emphasizing hygiene, footwear use, and pet deworming.
    UNASSIGNED: CLM is a neglected disease that primarily affects marginalized communities in tropical regions. Raising awareness among healthcare providers, conducting observational studies, and developing treatment guidelines, especially for children, are essential steps to address this public health concern. Preventive efforts, such as promoting hygiene and footwear use, should be encouraged to reduce CLM incidence.
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  • 文章类型: Journal Article
    在寻求新的治疗解决方案时,药物的发现和开发依赖于有效利用现有的知识和资源。重修专有技术,利用以前获得的信息和专业知识的战略,已经成为加速药物发现和开发过程的强大方法,通常只花费从头发展的一小部分成本。80年来,在伙伴关系网络中合作,瑞士热带与公共卫生研究所(SwissTPH)一直致力于从创新到验证和应用的价值链,以抗击与贫困有关的疾病。本文概述了在瑞士TPH进行的精选专有技术再利用举措,特别强调在被忽视的热带疾病和其他贫困传染病的背景下探索药物开发途径,比如血吸虫病,疟疾和人类非洲锥虫病。
    In pursuing novel therapeutic solutions, drug discovery and development rely on efficiently utilising existing knowledge and resources. Repurposing know-how, a strategy that capitalises on previously acquired information and expertise, has emerged as a powerful approach to accelerate drug discovery and development processes, often at a fraction of the costs of de novo developments. For 80 years, collaborating within a network of partnerships, the Swiss Tropical and Public Health Institute (Swiss TPH) has been working along a value chain from innovation to validation and application to combat poverty-related diseases. This article presents an overview of selected know-how repurposing initiatives conducted at Swiss TPH with a particular emphasis on the exploration of drug development pathways in the context of neglected tropical diseases and other infectious diseases of poverty, such as schistosomiasis, malaria and human African trypanosomiasis.
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  • 文章类型: Case Reports
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  • 文章类型: Journal Article
    牛是重要的血吸虫病宿主,将人类和动物置于有感染风险的稻田地区。这项研究报告了在Mainit湖附近的稻田中,牛粪便中的人畜共患寄生虫的普遍感染,菲律宾。对来自稻田的124例牛粪便样品进行了福尔马林乙酸乙酯沉降,并记录了来自7种寄生虫的卵和囊肿:日本血吸虫,巨大的Fasciola,蛔虫sp.,类圆线虫sp.,Balantidiumcoli,球虫卵囊和钩虫。在这些寄生虫中,F.gigantica的感染率最高,患病率为100%,其次是钩虫(51.61%),大肠杆菌(30.64%)和日本血吸虫(12.09%),分别。牛中每克日本血吸虫卵的感染强度(MPEG=4.19)被归类为“光”。牛污染指数(BCI)计算表明,平均而言,稻田中感染的牛每天排泄104750个日本血吸虫卵。然而,在所有的稻田站,牛被BCI严重感染,每天162700华氏度巨大卵。该研究报告说,除了该地区持续存在的血吸虫病病例外,这些稻田中的牛也严重感染了片形虫病。该研究证实了牛作为血吸虫病持续感染的水库宿主的关键作用,Mainit湖稻田中的筋膜病和其他疾病。建议立即干预以管理这些疾病在牛中的传播。
    Bovines are important reservoir hosts of schistosomiasis, placing humans and animals in rice fields areas at risk of infection. This study reported the prevailing infection of zoonotic parasites from bovine feces in the rice fields adjacent to Lake Mainit, Philippines. Formalin Ethyl Acetate Sedimentation was performed on 124 bovine fecal samples from rice fields and documented eggs and cysts from seven parasites: Schistosoma japonicum, Fasciola gigantica, Ascaris sp., Strongyloides sp., Balantidium coli, coccidian oocyst and a hookworm species. Among these parasites, F. gigantica harboured the highest infection with a 100% prevalence rate, followed by hookworms (51.61%), B. coli (30.64%) and S. japonicum (12.09%), respectively. The intensity of infection of S. japonicum eggs per gram (MPEG = 4.19) among bovines is categorized as ‘light.’ Bovine contamination index (BCI) calculations revealed that, on average, infected bovines in rice fields excrete 104 750 S. japonicum eggs daily. However, across all ricefield stations, bovines were heavily infected with fascioliasis with BCI at 162 700 F. gigantica eggs per day. The study reports that apart from the persistent cases of schistosomiasis in the area, bovines in these rice fields are also heavily infected with fascioliasis. The study confirms the critical role of bovines as a reservoir host for continued infection of schistosomiasis, fascioliasis and other diseases in the rice fields of Lake Mainit. Immediate intervention to manage the spread of these diseases in bovines is recommended.
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  • 文章类型: Journal Article
    背景:获得负担得起的,优质医疗是全民健康覆盖(UHC)的关键要素。这项研究检查了被忽视的热带病(NTD)大规模药物管理(MDA)运动方法作为提供UHC的手段的有效性,以利比里亚国家方案为例。
    方法:我们首先从利比里亚2019年全国MDA治疗数据报告记录中绘制了3195个社区的位置。然后使用二项地理加性模型探索了在这些社区中实现的盘尾丝虫病覆盖率与淋巴丝虫病治疗之间的关联。该模型采用了社区“偏远”的三个关键决定因素:人口密度和社区到其支持医疗机构和最近的主要定居点的建模旅行时间。
    结果:生成的地图突出显示了利比里亚少数低治疗覆盖率的集群。统计分析表明,治疗覆盖率和地理位置之间存在复杂的关系。
    结论:我们接受MDA活动方法是一种有效的机制,可以覆盖地理边缘社区,因此,有可能提供UHC。我们认识到存在需要进一步研究的特定限制。
    BACKGROUND: Access to affordable, quality healthcare is the key element of universal health coverage (UHC). This study examines the effectiveness of the neglected tropical disease (NTD) mass drug administration (MDA) campaign approach as a means to deliver UHC, using the example of the Liberia national programme.
    METHODS: We first mapped the location of 3195 communities from the 2019 national MDA treatment data reporting record of Liberia. The association between coverage for onchocerciasis and lymphatic filariasis treatment achieved in these communities was then explored using a binomial geo-additive model. This model employed three key determinants for community \'remoteness\': population density and the modelled travel time of communities to their supporting health facility and to their nearest major settlement.
    RESULTS: Maps produced highlight a small number of clusters of low treatment coverage in Liberia. Statistical analysis suggests there is a complex relationship between treatment coverage and geographic location.
    CONCLUSIONS: We accept the MDA campaign approach is a valid mechanism to reach geographically marginal communities and, as such, has the potential to deliver UHC. We recognise there are specific limitations requiring further study.
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