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Enlarging the "Audacious Goal": elimination of the world's high prevalence neglected tropical diseases.
[dracunculiasis]
The
high
prevalence
neglected
tropical
diseases
(
NTDs
)
exhibit
a
global
disease
burden
that
exceeds
malaria
,
tuberculosis
,
and
other
better
known
global
health
conditions
;
they
also
represent
a
potent
force
in
trapping
the
world
's
poorest
people
in
poverty
.
Through
extremely
low
cost
national
programs
of
disease
mapping
and
mass
drug
administration
(
MDA
)
for
the
seven
most
common
NTDs
,
integrated
NTD
control
and
elimination
efforts
are
now
in
place
in
more
than
14
countries
through
the
support
of
the
United
States
Agency
for
International
Development
(
USAID
)
,
the
British
Department
for
International
Development
(
DFID
)
,
and
the
Global
Network
for
NTDs
and
its
partners
.
The
World
Health
Organization
(
WHO
)
estimates
that
in
2008
some
670
million
people
in
75
countries
received
NTD
treatments
through
these
and
other
sponsored
programs
.
With
continued
successes
the
next
decade
could
witness
the
global
elimination
of
blinding
trachoma
,
human
Africa
trypanosomiasis
(
HAT
)
,
lymphatic
filariasis
(
LF
)
,
onchocerciasis
,
trachoma
,
and
leprosy
as
public
health
problems
,
in
addition
to
the
eradication
of
dracunculiasis
.
For
other
high
prevalence
NTDs
,
including
hookworm
infection
,
schistosomiasis
,
Chagas
disease
and
leishmaniasis
,
new
drugs
and
vaccines
may
still
be
required
.
Increasingly
it
is
recognized
that
the
high
prevalence
NTDs
exhibit
extensive
geographic
overlap
and
polyparasitism
is
commonly
found
throughout
the
world
's
low
income
countries
.
Therefore
,
global
elimination
will
also
require
integrated
packages
of
drugs
together
with
vaccine-linked
chemotherapy
.
Ultimately
,
the
global
elimination
of
the
high
prevalence
NTDs
will
require
continued
large
-scale
support
from
the
U
.
S
.
Government
and
selected
European
governments
,
however
,
the
emerging
market
economies
,
such
as
Brazil
,
China
,
India
,
Mexico
,
and
Nigeria
,
and
wealthy
countries
in
the
Middle
East
will
also
have
to
substantially
contribute
.
Diseases
Validation
Diseases presenting
"increasingly it is recognized that the high prevalence ntds exhibit extensive geographic overlap and polyparasitism"
symptom
dracunculiasis
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