Académie royale de Médecine de Belgique

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Vidéo et résumé de Peter Hotez, MD PhD, membre étranger


NEGLECTED TROPICAL DISEASES IN THE TIME OF BLUE MARBLE HEALTH AND THE ANTHROPOCENE

par Peter HOTEZ, MD PhD (Baylor College of Medicine, Texas – USA), membre étranger. 

The poverty-related neglected tropical diseases (NTDs) represent the most common afflictions of the world’s poorest people.  Beginning in 2006, a global network was launched to integrate mass drug administration for several helminth infections and trachoma, yaws, and scabies, which is now leading to substantial reductions in their global prevalence, and could even lead to disease elimination in some cases.  However, there has been a commensurate rise in other NTDs due to war/conflict, shifting poverty, and climate change.  With respect to war and conflict we’ve seen a rise in leishmaniasis in the Middle East, Central Asia, and East Africa, while significant changes in the global economy have created a situation where today most of the world’s NTDs are paradoxically found in the G20 nations, but among the hidden poor in those countries.  The concept of disease and poverty among the “poorest of the rich” is referred to as blue marble health. In addition climate change is promoting the emergence of NTDs in areas not previously well known for these diseases including Southern Europe, the US Gulf Coast, and elsewhere.  Global efforts are beginning to develop new vaccines for some of the NTDs arising out of these new 21st century forces, including vaccines targeting schistosomaisis, leishmaniasis, and Chagas disease, but in addition to the formidable scientific hurdles we now also require innovative financing mechanisms, as well as efforts to combat an abrupt and demoralizing rise in antivaccine and anti-science movements in the US and Europe.