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Cited by 557Parasites and Host InteractionsParasitic Diseases Research and TreatmentChild Nutrition and Water Access

The DOI matches its Crossref record; 57 of the 57 references it cites were found in a registry or an index.

“Rapid-Impact Interventions”: How a Policy of Integrated Control for Africa's Neglected Tropical Diseases Could Benefit the Poor

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Molyneux, David H, Hotez, Peter J, Fenwick, Alan·2005·PLoS Medicine
DOI 10.1371/journal.pmed.0020336PMC PMC1253619
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Abstract

O ver the past two decades there have been signifi cant achievements in the control of a handful of important human tropical infections [1].These achievements include the substantive reductions in the prevalence and incidence of the so-called neglected diseases such as lymphatic fi lariasis, onchocerciasis, guinea worm, leprosy, and trachoma (Box 1) [2].Each of these neglected diseases is a poverty-promoting and often stigmatizing condition occurring primarily in rural areas of low-income countries (Box 2) [3].They are ancient affl ictions, described in the Bible and other ancient texts, which have burdened humanity for millennia [3].But now, as a result of aggressive regional vertical interventions, there is a possibility that some neglected tropical infections could be eventually controlled to the point of elimination in some areas of endemicity [2-8].In the case of guinea worm infection, disease eradication might also soon be possible [9]. Neglected by Policy Makers and DonorsSomewhat surprisingly, policy makers and public health offi cials have largely ignored the extraordinary successes in these vertical programmes for neglected disease control and elimination.We believe that there are two main reasons for this lack of attention.The fi rst is that the international health community, including donors, have given the highest priority to the "big three"-HIV/AIDS, tuberculosis (TB), and malaria-with the result that other infections of poverty garner less attention.The second is that donors and policy makers take a dim view of the overall value of vertical programmes that are not directed at the big three.With regards to the big three, donors, international agencies, nongovernmental development agencies, and governments have responded through focused attention on vertical initiatives by creating UNAIDS (http:⁄⁄www.unaids. org) and within WHO, Stop TB (http:⁄⁄www.stoptb.org)and Roll Back Malaria (http:⁄⁄www.rollbackmalaria.org).These developments stimulated the establishment of the Global Fund to Fight AIDS, TB and Malaria (http:⁄⁄www.

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Figure 1 Geographic Overlap of the Neglected Tropical Diseases (Figure: Molly Brady, Emory University)
Figure 1 Geographic Overlap of the Neglected Tropical Diseases (Figure: Molly Brady, Emory University)CC BY · PubMed Central
Figure 2 Range of Treatment Costs Per Year
Figure 2 Range of Treatment Costs Per YearCC BY · PubMed Central

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Research works printed but not linked: 4

  1. 2006, The neglected tropical diseases: The ancient afflictions of stigma and poverty and the prospects for their integrated control and elimination.
  2. What Works Working Group, 2004, Case 11, controlling Chagas disease in the southern cone of South America., 99
  3. What Works Working Group, 2004, Case 6, controlling onchocerciasis in sub-Saharan Africa., Center for Global Development. Millions saved, proven successes in global health, 57
  4. World Health Organization, 2001 March, African trypanosomiasis or sleeping sickness., Fact sheet No. 259. Geneva: World Health Organization

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Metadata

Authors
Molyneux, D. H., Hotez, P. J., & Fenwick, A.
Affiliations
  • Liverpool School of Tropical Medicine (GB)
  • George Washington University (US)
Corresponding author
Hotez, Peter J
ORCID
Venue
PLoS Medicine
Publisher
Public Library of Science (PLoS)
Published
2005-10-11
Volume
2
Issue
11
Pages
e336
ISSN
  • 1549-1277 (ISSN-L)
  • 1549-1676
DOI
10.1371/journal.pmed.0020336
PMC
PMC1253619
OpenAlex
W1981367337
Cited by
557
References
56
Citations by year
2026: 2 · 2025: 15 · 2024: 22 · 2023: 12 · 2022: 18 · 2021: 21 · 2020: 32 · 2019: 31 · 2018: 19 · 2017: 24 · 2016: 22 · 2015: 19 · 2014: 41 · 2013: 40 · 2012: 38
FWCI
26.17
Type
journal article
Language
en
Open access
Licence
Locations
  • PLoS Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • LSTM Online Archive (Liverpool School of Tropical Medicine) (acceptedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Bill and Melinda Gates Foundation
  • Sabin Vaccine Institute
  • GlaxoSmithKline
  • Department for International Development
Topics
  • Life Sciences › Immunology and Microbiology › Parasitology › Parasites and Host Interactions
  • Health Sciences › Medicine › Infectious Diseases › Parasitic Diseases Research and Treatment
  • Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
Keywords
neglected tropical diseases, integrated disease management, vertical programmes, disease elimination, lymphatic filariasis, onchocerciasis, guinea worm, leprosy, trachoma, poverty, health policy, disease eradication
MeSH terms
Africa, Cost-Benefit Analysis, Cost Control, Goals, Health Policy, Humans, Policy Making, Tropical Medicine, Health Care Costs, Infection Control, Endpoint Determination

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