Tuberculosis comorbidity with communicable and non-communicable diseases: integrating health services and control efforts
| Autor: | Stephen D. Lawn, Ziad A. Memish, Guiseppe Pantaleo, Lynn S. Zijenah, Ibrahim Abubakar, Michel Pletschette, Ben J. Marais, Matthew Bates, Alimuddin Zumla, Afia Zafar, Markus Maeurer, Giovanni Battistai Migliori, Gill Craig, Soumya Swaminathan, Marco Schito, Knut Lönnroth, Rumina Hasan, Peter Mwaba, Philippe Glaziou, Peter S. Kim, Ruth Colagiuri, Michael Hoelscher |
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| Přispěvatelé: | University of Zurich, Zumla, Alimuddin |
| Rok vydání: | 2013 |
| Předmět: |
A300 Clinical Medicine
Tuberculosis National Health Programs 030231 tropical medicine 610 Medicine & health Comorbidity Global Health Communicable Diseases 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Risk Factors Environmental health Diabetes Mellitus Global health Humans Medicine 030212 general & internal medicine Social determinants of health Disease management (health) Acquired Immunodeficiency Syndrome Health Services Needs and Demand Coinfection 10179 Institute of Medical Microbiology business.industry 1. No poverty Mycobacterium tuberculosis 2725 Infectious Diseases medicine.disease 3. Good health Malnutrition Infectious Diseases Socioeconomic Factors Communicable Disease Control Immunology 570 Life sciences biology business |
| Zdroj: | The Lancet Infectious Diseases. 13:436-448 |
| ISSN: | 1473-3099 |
| Popis: | SummaryRecent data for the global burden of disease reflect major demographic and lifestyle changes, leading to a rise in non-communicable diseases. Most countries with high levels of tuberculosis face a large comorbidity burden from both non-communicable and communicable diseases. Traditional disease-specific approaches typically fail to recognise common features and potential synergies in integration of care, management, and control of non-communicable and communicable diseases. In resource-limited countries, the need to tackle a broader range of overlapping comorbid diseases is growing. Tuberculosis and HIV/AIDS persist as global emergencies. The lethal interaction between tuberculosis and HIV coinfection in adults, children, and pregnant women in sub-Saharan Africa exemplifies the need for well integrated approaches to disease management and control. Furthermore, links between diabetes mellitus, smoking, alcoholism, chronic lung diseases, cancer, immunosuppressive treatment, malnutrition, and tuberculosis are well recognised. Here, we focus on interactions, synergies, and challenges of integration of tuberculosis care with management strategies for non-communicable and communicable diseases without eroding the functionality of existing national programmes for tuberculosis. The need for sustained and increased funding for these initiatives is greater than ever and requires increased political and funder commitment. |
| Databáze: | OpenAIRE |
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