P Solano I Quick P Debré Haiphong November 89 2017 Francophone Network for the elimination Neglected Tropical Diseases late 20th century global interest in major infectious diseases in tropical areas malaria HIV tuberculosis ID: 807614
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Slide1
J.
Chandenier*, J. Jannin*, P. Solano, I. Quick, P. DebréHaiphong, November 8-9, 2017
Francophone Network for the elimination
Neglected Tropical Diseases
* :
Slide2-
late
20th
century
,
global interest in major infectious diseases in tropical areas: malaria, HIV, tuberculosis
-
21th
century, interest in diseases of the "epidemiological transition" in tropical zones: overload, cardiovascular pathologies, oncology, ...
- but, late 20th century and 21st century, persistence of NTDs
Problem of neglected tropical diseases
(
NTDs
)
Slide3Characteristics
of neglected tropical diseases
(
NTDs
)
-
Affect the poorly visible and poorly audible populations
- Diseases traveling little or no outside the tropics (climate, vectors, ...)
- Often cause stigma and discrimination- Have a significant impact on morbidity and mortality
- Are neglected by research
- But:
could be controlled, prevented and possibly eliminated using existing solutions
Slide4Diseases
(
updated
April 2017):
Bactériennes
-
Buruli
ulcer
- leprosy- yaws- trachoma
Virales
- dengue/
chikungunya
-
rabies
Other
-
snakebite
Parasitic
/
fungal
-
Chagas
disease- sleeping sickness- dracunculiasis - lymphatic filariasis- onchocerciasis- echinococcosis
- foodborn trematodiasis- schistosomiasis- soil-transmitted helminthes - taeniasis/cysticercosis- scabies- mycetomas/chromomycosis
Neglected
Tropical Diseases (NTDs)
Slide5-
January 2012, roadmap for implementation
-
July 2005, creation of the Department of fight against Neglected Tropical Diseases
Setting up of the
reaction
against the NTDs
Dr Margaret Chan- London declaration 2013- 2015 : NTDs included in the Sustainable Development Goals (SDGs) 2030
Slide6G7
Summit, Elmau, Germany, 2015
G7
Summit, Ise-Shima, Japan, 2016
Setting up of the French reaction
Montpellier (France),
april
, 2016
> 250 registered so far: - Institutions - Individuals - Associations - NGO - Learned Societies -…
Slide7IRD
Philippe
Solano
CIRAD
Pascal Bonnet
INSERM
Laurent
Marsollier
PASTEUR INSTITUTEPhilippe Bastin
NGOSerge Resnikoff (OPC)
Eric
Pichard (Santé Sud)
South country
Crispin
Lumbala
Félix Boa
Yapo
Roch
Dabiré
Mérieux Fondation
Sébastien Quesney
Training / learned societies
Jacques Chandenier
PARAFRAP
Frédéric
Bringaud
DNDi
Nathalie Strub WourgaftSANOFIFrançois BompartVariousJean
JanninRobert
Sebbag willingness to make changes in the overall policy and action strategies of each institution about NTDs global and concerted actions to put in place for the elimination of NTDs
Scientific and Strategic Council of the
NTDFN
Slide8-
How to adapt control strategies to each elimination context?- What new tools can be developed to ensure and sustain elimination?- How to answer all questions specific to elimination (access to care, biology, epidemiology, surveillance, ...)?
- How to sustain the results acquired in a context of very low prevalence?
- How to convince institutional and private donors to continue their efforts when many cases are decreasing?Questions posed by the desire to eliminate NTDs
Slide9ELIMINATION
Diagnosis
Cartography
Clinical …(radiological)
and/or biological
Medical
treatments- mass- individual
ou massIndividual…Vector controlInterventions
on the animal reservoir
Reminder
:
NTDs
=
diseases
Which
strategy (s) for
NTDs elimination
Research
…
… in all areas
Slide10Biological
diagnosis
Objective: to develop a common vision of the problem of universal access to the diagnosis of NTDs for the poorest populations
« Universal access to diagnosis of NTDs »Les Pensières-Fondation Mérieux Annecy (France)March 27-29, 2017
Which
strategy (s) for
NTDs
training
Slide11«
Universal access to diagnosis of NTDs »
Les Pensières-Fondation Mérieux Annecy (France)
March 27-29, 2017The 4 elements form a sequence. If an element is missing, access is no longer possible.Conclusions : - Universal access to diagnosis is an absolute condition for the success of neglected tropical disease elimination programs- universal access to diagnosis is conceived from 4 major themes:
Which
strategy (s) for
NTDs
training
Slide12ELIMINATION
Diagnosis
Cartography
Clinical …(radiological)
and/or biological
Medical
treatments- mass- individual
ou massIndividual…training …
… multi-
professional
Vector
control
Interventions
on the animal
reservoir
Reminder
:
NTDs
=
diseases
What strategy (s) for
NTDs
training
Slide13- More
targeted “NTDs" because current training too "general", too "diluted" in infectiology, and therefore often insufficient- In
all sectors of intervention concerned
(Medical / paramedical, research, technical, logistics, ...)- In all types of training involved(Academic and professionalizing, initial and continuous, central and peripheral level, ...)- In a synchronized way - Adapted to each local situation of NTDs- Supported
by a local political will- Carried out by
North and South
stakeholders
- By relying on adapted innovative techniques / methods
Which requirements for training in the context of NTDs?
Slide14To know more
Slide15Join
the network !!
Isadora.quick@inserm.fr
To act more by 2030