Continuing challenge of infectious diseases in India
Autor(es): John T Jacob, Dandona Lalit, Sharma Vinod P, Kakkar Manish
Resumo: In India, the range - burden of infectious diseases are enormous. The administrative responsibilities of the health system are shared between the central (federal) - state governments. Control of diseases - outbreaks is the responsibility of the central Ministry of Health, which lacks a formal public health department for this purpose. Tuberculosis, malaria, filariasis, visceral leishmaniasis, leprosy, HIV infection, - childhood cluster of vaccine-preventable diseases are given priority for control through centrally managed vertical programmes. Control of HIV infection - leprosy, but not of tuberculosis, seems to be on track. Early success of malaria control was not sustained, - visceral leishmaniasis prevalence has increased. Inadequate containment of the vector has resulted in recurrent outbreaks of dengue fever - re-emergence of Chikungunya virus disease - typhus fever. Other infectious diseases caused by faecally transmitted pathogens (enteric fevers, cholera, hepatitis A - E viruses) - zoonoses (rabies, leptospirosis, anthrax) are not in the process of being systematically controlled. Big gaps in the surveillance - response system for infectious diseases need to be addressed. Replication of the model of vertical single-disease control for all infectious diseases will not be efficient or viable. India needs to rethink - revise its health policy to broaden the agenda of disease control. A comprehensive review - redesign of the health system is needed urgently to ensure equity - quality in health care. We recommend the creation of a functional public health infrastructure that is shared between central - state governments, with professional leadership - a formally trained public health cadre of personnel who manage an integrated control mechanism of diseases in districts that includes infectious - non-infectious diseases, - injuries.
Imprenta: Lancet, v. 377, n. 9761, p. 252-269, 2011
Identificador do objeto digital: 10.1016/S0140-6736(10)61265-2
Descritores: Chikungunya virus - Infectious diseases ; Chikungunya virus - Viral infections ; Chikungunya Virus - Virus ; Chikungunya virus - Vaccine ; Chikungunya virus - Chikungunya fever ; Chikungunya virus - Dengue ; Chikungunya virus - Epidemiology ; Chikungunya virus - Public health
Data de publicação: 2011
