Autor(es): Solomon Anthony W, Nayagam Shevanthi, Pasvol Geoffrey

Resumo: There have been significant advances in both the classical - neglected tropical diseases, with Guinea worm looking set to be the next disease after smallpox to be eradicated. Aided by a combination of enhanced underst-ing of the biology of the pathogens, intensification of immunisation activities or mass drug administration, together with the development of synergies with control programmes for co-endemic tropical diseases, polio, lymphatic filariasis, trachoma - onchocerciasis all appear to be in global decline, with good prospects for eventual successful elimination. While the global incidence of new cases of leprosy continues to decrease, the focus of leprosy control efforts has shifted following more widespread recognition that cure of infection does not necessarily prevent disability. Expansion in funding for HIV/AIDS - malaria provides some grounds for optimism about the control of these diseases. However, ongoing education - access remain essential to increasing the uptake of HIV testing - decreasing transmission. Meanwhile, the rise of drug-resistant tuberculosis - malaria is concerning, - the emergence of the highly pathogenic avian influenza A - re-emergence of viruses such as chikungunya - West Nile virus, without significant recent progress in vaccine development, pose additional ongoing challenges to tropical medicine physicians worldwide.

Palavras-Chave: Tropical medicine; Resistance; Malaria; HIV/AIDS; Tuberculosis; Communicable diseases; Emerging

Imprenta: Transactions of the Royal Society of Tropical Medicine and Hygiene, v. 103, n. 7, p. 647-652, 2009

Identificador do Objeto Digital: 10.1016/j.trstmh.2009.01.018

Descritores: Chikungunya virus - Viral infections ; Chikungunya Virus - Virus ; Chikungunya virus - Transmission ; Chikungunya virus - Vaccine

Data de Publicação: 2009