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Neglected Tropical Diseases

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niamh allen

on 17 April 2018

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Transcript of Neglected Tropical Diseases

Fishing on the South West African coastline…

A swim in lake Malawi….

Ethiopian coffee and colourful markets…
Neglected Tropical Diseases


>1 billion affected
>1/2 million deaths per year

Bike safari through Botswana...

What they have in common is not their pathology but where they
are found and who they affect.

Named “neglected” because exist in some of the poorest and most
marginalised communities; largely eliminated elsewhere thus often forgotten

The tropics and East African plains….

Rainy season of central Africa….

Dr Ceppie Merry
Dr Niamh Allen

From the desert….

Is this relevant to us?

Besides raising questions about justice and distribution of resources?

big gap between disease burden and research and spending

Public Health – an easy target?

Simple treatments
clean water + sanitation
Vector control

low cost high yield!
40 million views in 3 days

14 million USD

Invisible Children


Thanks to Dr. Brendan Crowley for the photograph!

Acute presentations with NTDs to ID clinics

All other clinics with consequences of NTDs
cirrhosis/ portal HTN (schisto)
CVD (chagas)
chronic pulm disease (paragonomiasis)

Yes….these diseases are in your clinics too!

Hotez PJ (2013) NTDs V.2.0: “Blue Marble Health”—Neglected Tropical Disease Control and Elimination in a Shifting Health Policy Landscape. PLoS Negl Trop Dis 7(11): e2570. doi:10.1371/journal.pntd.0002570

Figure 1. The poor living among the wealthy.

“The Blue Marble”—an international symbol of peace and healing
—photographed by Astronauts, Eugene Cernan, Ronald Evans, and Jack Schmitt, December 7, 1972;

“Blue marble health”
- blurring between the health of developed and developing countries

poverty as a key underlying factor for NTDs, regardless of where they occur

Breakdown of health structures/ services/ supplies

Lack of infrastructure and personnel


Don't let the monkeys bite...!
Disease Burden
"The poor living among the rich"
Syria –
re-emergence of measles and polio, escalation of endemic leishmaniasis
Assay in SJH x 1 year

Full transcript