Towards the elimination of visceral leishmaniasis as a public health problem in east Africa: reflections on an enhanced control strategy and a call for action

Summary: East Africa is the world region most affected by visceral leishmaniasis, accounting for 45% of cases globally that were reported to WHO in 2018, with an annual incidence that is only slightly decreasing. Unlike southeast Asia, east Africa does not have a regional approach to achieving elimi...

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Autores principales:	Jorge Alvar, MD, Margriet den Boer, PharmD, Daniel Argaw Dagne, MD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/60a0587367e04c51bb64cd3803e5c1ad
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id	oai:doaj.org-article:60a0587367e04c51bb64cd3803e5c1ad
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spelling	oai:doaj.org-article:60a0587367e04c51bb64cd3803e5c1ad2021-11-18T04:48:34ZTowards the elimination of visceral leishmaniasis as a public health problem in east Africa: reflections on an enhanced control strategy and a call for action2214-109X10.1016/S2214-109X(21)00392-2https://doaj.org/article/60a0587367e04c51bb64cd3803e5c1ad2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214109X21003922https://doaj.org/toc/2214-109XSummary: East Africa is the world region most affected by visceral leishmaniasis, accounting for 45% of cases globally that were reported to WHO in 2018, with an annual incidence that is only slightly decreasing. Unlike southeast Asia, east Africa does not have a regional approach to achieving elimination of visceral leishmaniasis as a public health problem. The goal of the WHO 2021–30 Neglected Tropical Diseases road map is to reduce mortality caused by the disease to less than 1%. To achieve this goal in east Africa, it will be necessary to roll out diagnosis and treatment at the primary health-care level and implement evidence-based personal protection methods and measures to reduce human–vector contact. Investment and collaboration to develop the necessary tools are scarce. In this Health Policy paper, we propose a strategic framework for a coordinated regional approach in east Africa for the elimination of visceral leishmaniasis as a public health problem.Jorge Alvar, MDMargriet den Boer, PharmDDaniel Argaw Dagne, MDElsevierarticlePublic aspects of medicineRA1-1270ENThe Lancet Global Health, Vol 9, Iss 12, Pp e1763-e1769 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Public aspects of medicine RA1-1270
spellingShingle	Public aspects of medicine RA1-1270 Jorge Alvar, MD Margriet den Boer, PharmD Daniel Argaw Dagne, MD Towards the elimination of visceral leishmaniasis as a public health problem in east Africa: reflections on an enhanced control strategy and a call for action
description	Summary: East Africa is the world region most affected by visceral leishmaniasis, accounting for 45% of cases globally that were reported to WHO in 2018, with an annual incidence that is only slightly decreasing. Unlike southeast Asia, east Africa does not have a regional approach to achieving elimination of visceral leishmaniasis as a public health problem. The goal of the WHO 2021–30 Neglected Tropical Diseases road map is to reduce mortality caused by the disease to less than 1%. To achieve this goal in east Africa, it will be necessary to roll out diagnosis and treatment at the primary health-care level and implement evidence-based personal protection methods and measures to reduce human–vector contact. Investment and collaboration to develop the necessary tools are scarce. In this Health Policy paper, we propose a strategic framework for a coordinated regional approach in east Africa for the elimination of visceral leishmaniasis as a public health problem.
format	article
author	Jorge Alvar, MD Margriet den Boer, PharmD Daniel Argaw Dagne, MD
author_facet	Jorge Alvar, MD Margriet den Boer, PharmD Daniel Argaw Dagne, MD
author_sort	Jorge Alvar, MD
title	Towards the elimination of visceral leishmaniasis as a public health problem in east Africa: reflections on an enhanced control strategy and a call for action
title_short	Towards the elimination of visceral leishmaniasis as a public health problem in east Africa: reflections on an enhanced control strategy and a call for action
title_full	Towards the elimination of visceral leishmaniasis as a public health problem in east Africa: reflections on an enhanced control strategy and a call for action
title_fullStr	Towards the elimination of visceral leishmaniasis as a public health problem in east Africa: reflections on an enhanced control strategy and a call for action
title_full_unstemmed	Towards the elimination of visceral leishmaniasis as a public health problem in east Africa: reflections on an enhanced control strategy and a call for action
title_sort	towards the elimination of visceral leishmaniasis as a public health problem in east africa: reflections on an enhanced control strategy and a call for action
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/60a0587367e04c51bb64cd3803e5c1ad
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Towards the elimination of visceral leishmaniasis as a public health problem in east Africa: reflections on an enhanced control strategy and a call for action

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