发展合作:在防治结核病中发挥何种作用?

F. D. Gennaro, D. Pizzol
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摘要

尽管多年过去了,结核病仍然是全球十大死亡原因之一[1]。据估计,2015年,全球有1040万人被诊断患有结核病,导致180万人死亡。中低收入国家的发病率和死亡率明显较高;特别是,全球90%以上的结核病病例和死亡发生在发展中国家。[2] 。出于这些原因,这些国家的整个医疗保健界都致力于抗击结核病,各种医疗保健组织之间的合作在这一过程中发挥着关键作用。2015年后全球结核病目标旨在到2035年将结核病发病率降低90%[3]。世界卫生组织敦促发展中国家提供以患者为中心的综合护理和预防、大胆的政策和支持系统、研究和创新[3]。我们相信,这些方法是实现抗击结核病目标的有效手段,医疗合作对推动这些变化至关重要。但是如何才能实现这些目标呢?快速的社会和医疗加速肯定会给穷人和被社会排斥的群体带来挑战。因此,在抗击和根除结核病的过程中,生活、医疗、经济和疾病的许多方面都紧密交织在一起[4]。
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Development Cooperation: Which Role in Combating Tuberculosis?
Despite the years go by, Tuberculosis (TB) remains one of the top ten causes of death worldwide [1]. It has been estimated that in 2015 10.4 million people were diagnosed with TB worldwide, causing 1.8 million deaths. The incidence and mortality rates are significantly higher in low and middle income countries; in particular, over 90% global TB cases and deaths occur in developing countries. [2]. For these reasons, the entire healthcare communities of these countries are devoted to fighting TB, and the cooperation among various healthcare organizations play a key role in the process. The post-2015 global tuberculosis target aims to reduce TB incidence by 90% by 2035 [3]. The WHO urges the developing countries to provide integrated patient-centered care and prevention, bold policies, and supportive systems, research and innovation [3]. We believe these approaches are an effective means to achieve the goals in fighting TB, and healthcare cooperation is essential in driving these changes. But how can these goals are achieved? A rapid social and healthcare acceleration will surely bring forth challenges amongst the poor and socially excluded groups. Thus, many aspects in life, healthcare, economy and diseases are closely interwoven in fighting and eradicating TB [4].
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