More medicines alone cannot ensure the treatment of neglected tropical diseases.
Bundy, Donald AP
The Lancet. Infectious diseases
The Lancet Publishing Group
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Chami, G., & Bundy, D. A. (2019). More medicines alone cannot ensure the treatment of neglected tropical diseases.. The Lancet. Infectious diseases, 19 (9), e330-e336. https://doi.org/10.1016/s1473-3099(19)30160-4
Neglected tropical diseases afflict more than one billion of the world’s poorest people. Annual pharmaceutical donations of billions of preventive chemotherapies for neglected tropical diseases enable the largest en masse treatment campaigns globally with respect to the number of people targeted for treatment. However, the blanket distribution of medicines at no cost to individuals in need of treatment does not guarantee that those individuals are treated. Here we argue that the expansion of medicine donations programmes and the development of new medicines are not the primary solutions to sustaining and expanding the growth of neglected tropical disease programmes. Treatment often is not verified; access to medicines may not be equitable across at-risk populations; and treatment targets for disease control remain largely unmet within many endemic countries. For the more equitable access to and efficient use of existing medicines, research is needed now on how best to integrate the treatment of neglected tropical diseases into local health systems. A comprehensive approach should be employed that combines mass drug administration with on-demand access to treatment. Increased endemic country commitment to and ownership of treatment campaigns is essential to improve the access to medicines for neglected tropical diseases.
Humans, Pharmaceutical Preparations, Tropical Medicine, Health Services Accessibility, Healthcare Disparities, Neglected Diseases, Mass Drug Administration
Wellcome Trust (100891/Z/13/Z)
Wellcome Trust (083931/Z/07/Z)
External DOI: https://doi.org/10.1016/s1473-3099(19)30160-4
This record's URL: https://www.repository.cam.ac.uk/handle/1810/290652
Attribution-NonCommercial-NoDerivatives 4.0 International
Licence URL: https://creativecommons.org/licenses/by-nc-nd/4.0/