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HIV/AIDS and NTDs Effective Solutions to Combat HIV/AIDS: Increasing Evidence of NTD Impact on HIV Transmission. Director-General Dr Margaret Chan ( China ). WHO Senior Staff ( July 2012 ). HQ. 6 Regional Offices. Regional Office for Africa Dr Luis Gomes Sambo ( Angola ).
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HIV/AIDS and NTDs Effective Solutions to Combat HIV/AIDS: Increasing Evidence of NTD Impact on HIV Transmission
Director-General Dr Margaret Chan (China) WHO Senior Staff (July 2012) HQ 6 Regional Offices Regional Office for Africa Dr Luis Gomes Sambo (Angola) Director-General's Office Dr Anne Marie Worning (Denmark) Mr Fu Cong (China) Dr Ian Smith (UK) Deputy Director-General Dr Anarfi Asamoa-Baah (Ghana) Pan American Health Organization Dr Mirta Roses (Argentina) Regional Office for South- East Asia DrSamleePlianbangchang (Thailand) Health Security and Environment Dr Keiji Fukuda (US) HIV/AIDS, TB, Malaria and NTD Dr Hiroki Nakatani (Japan) Health Systems and Services Dr. Carissa Etienne (Dominica) Regional Office for Europe MrsZsuzsannaJakab (Hungary) Noncommunicable Diseases and Mental Health Dr Oleg Chestnov (Russia) Innovation, Information, Evidence and Research DrMarie-PauleKieny (France) Health Action in Crisis Dr Bruce Aylward (Canada) Regional Office for East- Mediterranean Dr Ala Alwan (Iraq) General Management Dr Mohamed Abdi Jama (Somalia) Family and Community Health Dr Flavia Bustreo ( Italia) Regional Office for Western Pacific Dr Shin Young-Soo (Korea)
What are neglected tropical diseases? • 17 diseases that are prevalent in tropical and subtropical areas in Africa, Asia and South America • Mainly affect populations who are living in poverty, in areas where sanitationis lacking and who have close contact with infectiousvectors • Diseases for which research and development for treatment lags behind because those affected cannot afford new medicines • Perpetuate poverty because they retard growth, cause chronic morbidity and disability, and generate social stigma
Strategic approaches for NTD control Transmission control Integrated vector management Veterinary public health Water and environmental sanitation Behavioural change education Intensified case management, surgery and chronic care African trypanosomiasis Buruli ulcer Chagas Disease Dengue Echinococcosis Leishmaniasis Leprosy Lymphatic filariasis Rabies Schistosomiasis Trachoma Yaws Preventive chemotherapy [Link with other Rapid Impact Interventions and their delivery channels] Soil-transmitted helminthiases Schistosomiasis Lymphatic filariasis Onchocerciasis Trachoma Foodborne trematode infections Cysticercosis Dracunculiasis eradication
Relationship between the four strategic directions for a global response to HIV
An example of geographic overlap between HIV and NTD: the case of schistosomiasis * S. haematobium
From Linking Global HIV/AIDS Treatments with National Programs for the Control and Elimination of the Neglected Tropical Diseases. Julie Noblick, Richard Skolnik, Peter J. Hotez
Operational synergies: universal coverageFrom Julie Noblick, Richard Skolnik, Peter J. Hotez
Challenges and Approaches • Challenges • More biomedical evidence to establish a case • Service delivery model • Resource competition • Approaches • Advocacy • Technical Assistance • Strategic Information
Proposed priorities for action • WHO and its Member States give high priority to HIV, Tb, Malaria and NTDs: WHA Resolution for Policy Plat Form. • Improved clinical management of co-infection: visceral leishmaniasis, Chagas disease, helminthiasis • Control and eliminate schistosomiasis to reduce risk of transmission • Document the cost-effectiveness of linking NTD and HIV interventions • Flexible approaches to increase access to diagnostic and treatment for vulnerable populations. • Global Monitoring for strategic investment ( Second NTD Report )