scholarly journals Teledermatology in the Control of Skin Neglected Tropical Diseases: A Systematic Review

2021 ◽  
pp. e2021130
Author(s):  
Tejas Joshi ◽  
Vicky Ren
Keyword(s):  
Neglected Tropical Diseases ◽  
Medical Center ◽  
Cost Effective ◽  
Integrated Approach ◽  
Potential Method ◽  
Tropical Diseases ◽  
Cultural Issues ◽  
Cutaneous Manifestations ◽  
Positive Attitudes ◽  
The Impact

Introduction: Neglected tropical diseases (NTDs) include a group of about 20 illnesses that have garnered relatively little attention, despite their ability to inflict significant suffering and disability. Skin neglected tropical diseases (sNTDs) are a subset of NTDs that present with cutaneous manifestations and are well known for their ability to generate stigma and promote poverty. Teledermatology (TD) represents a potential method to control sNTDs. Objective: We sought to analyze the potential for TD to ease the burden of sNTDs. Methods: We performed a systematic literature search using the Texas Medical Center Library One Search, which scans 167 databases, including Embase, PubMed, and Scopus. We included all original investigations published after 2011 that assessed the impact of TD intervention in the control of one or more sNTDs. We excluded studies not written in English and studies that did not perform any outcome analyses. Results: 20 studies met our search criteria, and 18 expressed positive attitudes towards TD. Overall, we found that TD may be a sustainable, cost-effective strategy for expanding access to care for individuals afflicted with sNTDs. However, poor image quality, lack of access to further diagnostic tests, and ethical, legal, and cultural issues pose as barriers to TD utilization. Conclusion: TD may be helpful in achieving control of sNTDs but has its limitations. An integrated approach, which employs TD in conjunction with other strategies, represents a realistic path for alleviating sNTDs.

scholarly journals Integrated approach in the control of neglected tropical diseases with cutaneous manifestations in four municipalities in Benin: A cross-sectional study

2021 ◽  
Vol 13 (3) ◽  
pp. 184-191
Author(s):  
DJOSSOU Parfait ◽  
Emmanuel SOPOH Ghislain ◽  
Sètondji GNIMAVO Ronald ◽  
Gimatal ANAGONOU Esaï ◽  
Salou BACHIROU Zoulkifl ◽  
...  
Keyword(s):  
Neglected Tropical Diseases ◽  
Integrated Approach ◽  
Cross Sectional Study ◽  
Tropical Diseases ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cutaneous Manifestations

An Audit to Assess the Impact of a Strategy to Reduce Inappropriate Red Cell Transfusions at Honiara Hospital

1997 ◽  
Vol 27 (2) ◽  
pp. 97-99 ◽  
Author(s):  
Richard E Lucas ◽  
Hermann Oberli
Keyword(s):  
Blood Transfusion ◽  
Solomon Islands ◽  
Cost Effective ◽  
Integrated Approach ◽  
Red Cell ◽  
Central Hospital ◽  
Education Strategy ◽  
Blood Transfusion Service ◽  
The Impact ◽  
National Referral Hospital

A blood transfusion committee was established at Honiara Central Hospital (HCH), a national referral hospital for the Solomon Islands to promote a rational, safe and cost-effective blood transfusion service and to audit the use of blood particularly in the perioperative context. Following the education strategy, a 29.7% reduction in the number of units of blood crossmatched as a proportion of total admissions was achieved as well as a 30.1% reduction in the number of units transfused per 100 operations. The failure of the education strategy to increase the proportion of ‘group and hold’ requests confirms the need for an integrated approach between the different hospital departments involved to ensure a fully satisfactory result.

scholarly journals Epidemiology of neglected tropical diseases in transplant recipients: review of the literature and experience of a Brazilian HSCT center

2009 ◽  
Vol 51 (6) ◽  
pp. 309-324 ◽  
Author(s):  
Clarisse Martins Machado ◽  
Talita Chaves Martins ◽  
Iago Colturato ◽  
Marília Souza Leite ◽  
Anderson João Simione ◽  
...  
Keyword(s):  
Developing Countries ◽  
Disease Burden ◽  
Neglected Tropical Diseases ◽  
Therapeutic Option ◽  
Haematopoietic Stem Cell ◽  
Solid Organ ◽  
Tropical Diseases ◽  
Transplant Recipients ◽  
Transplant Program ◽  
The Impact

The rising success rate of solid organ (SOT) and haematopoietic stem cell transplantation (HSCT) and modern immunosuppression make transplants the first therapeutic option for many diseases affecting a considerable number of people worldwide. Consequently, developing countries have also grown their transplant programs and have started to face the impact of neglected tropical diseases (NTDs) in transplant recipients. We reviewed the literature data on the epidemiology of NTDs with greatest disease burden, which have affected transplant recipients in developing countries or may represent a threat to transplant recipients living in other regions. Tuberculosis, Leprosy, Chagas disease, Malaria, Leishmaniasis, Dengue, Yellow fever and Measles are the topics included in this review. In addition, we retrospectively revised the experience concerning the management of NTDs at the HSCT program of Amaral Carvalho Foundation, a public transplant program of the state of São Paulo, Brazil.

scholarly journals The impact of Neglected Tropical Diseases (NTDs) on health and wellbeing in sub-Saharan Africa (SSA): A case study of Kenya

2021 ◽  
Vol 15 (2) ◽  
pp. e0009131 ◽  
Author(s):  
Elizabeth A. Ochola ◽  
Diana M. S. Karanja ◽  
Susan J. Elliott
Keyword(s):  
Neglected Tropical Diseases ◽  
National Level ◽  
Sub Saharan Africa ◽  
The Political ◽  
Economic Opportunity ◽  
Tropical Diseases ◽  
Health And Wellbeing ◽  
Sub Saharan ◽  
Political Economic ◽  
The Impact

Neglected Tropical Diseases (NTDs) remain endemic to many regions of sub-Saharan Africa (SSA) left behind by socioeconomic progress. As such, these diseases are markers of extreme poverty and inequity that are propagated by the political, economic, social, and cultural systems that affect health and wellbeing. As countries embrace and work towards achieving the Sustainable Development Goals (SDGs), the needs of such vulnerable populations need to be addressed in local and global arenas. The research uses primary qualitative data collected from five NTD endemic counties of Kenya: interviews key informants (n = 21) involved in NTD implementation programs and focus groups (n = 5) of affected individuals. Informed by theories of political ecology of health, the research focuses on post-devolution Kenya and identifies the political, economic, social, and cultural factors that propagate NTDs and their effects on health and wellbeing. Our findings indicate that structural factors such as competing political interests, health worker strikes, inadequate budgetary allocations, economic opportunity, marginalization, illiteracy, entrenched cultural norms and practices, poor access to water, sanitation and housing, all serve to propagate NTD transmission and subsequently affect the health and wellbeing of populations. As such, we recommend that post-devolution Kenya ensures local political, economic and socio-cultural structures are equitable, sensitive and responsive to the needs of all people. We also propose poverty alleviation through capacity building and empowerment as a means of tackling NTDs for sustained economic opportunity and productivity at the local and national level.

scholarly journals Are current preventive chemotherapy strategies for controlling and eliminating neglected tropical diseases cost-effective?

2021 ◽  
Vol 6 (8) ◽  
pp. e005456
Author(s):  
Hugo C Turner ◽  
Wilma A Stolk ◽  
Anthony W Solomon ◽  
Jonathan D King ◽  
Antonio Montresor ◽  
...  
Keyword(s):  
Lymphatic Filariasis ◽  
Low Income ◽  
Neglected Tropical Diseases ◽  
Cost Effective ◽  
Healthcare Spending ◽  
Tropical Diseases ◽  
Preventive Chemotherapy ◽  
Middle Income ◽  
Disability Adjusted Life ◽  
The Cost

Neglected tropical diseases (NTDs) remain a significant cause of morbidity and mortality in many low-income and middle-income countries. Several NTDs, namely lymphatic filariasis, onchocerciasis, schistosomiasis, soil-transmitted helminthiases (STH) and trachoma, are predominantly controlled by preventive chemotherapy (or mass drug administration), following recommendations set by the WHO. Over one billion people are now treated for NTDs with this strategy per year. However, further investment and increased domestic healthcare spending are urgently needed to continue these programmes. Consequently, it is vital that the cost-effectiveness of preventive chemotherapy is understood. We analyse the current estimates on the cost per disability-adjusted life year (DALY) of the preventive chemotherapy strategies predominantly used for these diseases and identify key evidence gaps that require further research. Overall, the reported estimates show that preventive chemotherapy is generally cost-effective, supporting WHO recommendations. More specifically, the cost per DALY averted estimates relating to community-wide preventive chemotherapy for lymphatic filariasis and onchocerciasis were particularly favourable when compared with other public health interventions. Cost per DALY averted estimates of school-based preventive chemotherapy for schistosomiasis and STH were also generally favourable but more variable. Notably, the broader socioeconomic benefits are likely not being fully captured by the DALYs averted metric. No estimates of cost per DALY averted relating to community-wide mass antibiotic treatment for trachoma were found, highlighting the need for further research. These findings are important for informing global health policy and support the need for continuing NTD control and elimination efforts.

scholarly journals Integrated Approach in the Control and Management of Skin Neglected Tropical Diseases in Three Health Districts of Côte d’Ivoire

2020 ◽  
Author(s):  
Aboa Paul Koffi ◽  
Théodore Ange Kouakou Yao ◽  
Yves Thierry BAROGUI ◽  
Gabriel Diez ◽  
Simplice Djakeaux ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Neglected Tropical Diseases ◽  
Buruli Ulcer ◽  
Integrated Approach ◽  
Tropical Diseases ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Skin Conditions ◽  
Health Districts

Abstract Background: Neglected tropical diseases (NTDs) comprise 20 communicable diseases that are prevalent in rural poor and remote communities with less access to the health system. For effective and efficient control, the WHO recommends that affected countries implement integrated control interventions that take into account the different co-endemic NTDs in the same community. However, implementing these integrated interventions involving several diseases with different etiologies, requiring different control approaches and driven by different vertical programs, remains a challenge. We report here the results and lessons learned from a pilot test of this integrated approach based on integrated screening of skin diseases in three co-endemic health districts of Côte d'Ivoire, a West African country endemic for Buruli ulcer, leprosy and yaw.Method: This cross-sectional study took place from April 2016 to March 2017 in 3 districts of Côte d’Ivoire co-endemic for BU, leprosy and yaws. The study was carried out in 6 stages: identification of potentially co-endemic communities; stakeholder training; social mobilization; mobile medical consultations; case detection and management; and a review meeting.Results: We included in the study all patients with skin signs and symptoms at the screening stage who voluntarily accepted screening.In total, 2310 persons screened had skin lesions at the screening stage. Among them, 07 cases were diagnosed with Buruli ulcer. There were 30 leprosy cases and 15 yaws detected. Other types of ulcerations and skin conditions have been identified and represent the majority of cases detected. We learned from this pilot experience that integration can be successfully implemented in co-endemic communities in Côte d’Ivoire. Health workers are motivated and available to implement integrated interventions instead of interventions focused on a single disease. However, it is essential to provide capacity building, a minimum of drugs and consumables for the care of the patients identified, as well as follow-up of identified patients, including those with other skin conditions.Conclusions: The results of this study show that the integration of activities can be successfully implemented in co-endemic communities under the condition of staff capacity building and minimal care of identified patients.

scholarly journals Mapping the role of digital health technologies in the case detection, management, and treatment outcomes of neglected tropical diseases: a scoping review

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Binyam Tilahun ◽  
Kassahun Dessie Gashu ◽  
Zeleke Abebaw Mekonnen ◽  
Berhanu Fikadie Endehabtu ◽  
Dessie Abebaw Angaw
Keyword(s):  
Treatment Outcome ◽  
Treatment Outcomes ◽  
Scoping Review ◽  
Neglected Tropical Diseases ◽  
Digital Health ◽  
Tropical Diseases ◽  
Case Detection ◽  
Patient Identification ◽  
Health Technologies ◽  
The Impact

Abstract Background Neglected tropical diseases (NTDs) are a diverse group of communicable diseases that principally impact the world’s poorest people. The use of digital health technologies is an emerging and promising way to improve disease prevention, diagnosis, case detection, treatment delivery, and patient follow-up and facilitating health facility appointments thereby improving health outcomes. While the growing implementation of digital health technologies is evident, there is a lack of comprehensive evidence on the impact of digital health technologies in the control of NTDs. The main objective of this review was to map different pieces of evidence on the use of digital health technologies for case detection, management, and treatment outcome of the neglected tropical diseases. Methods We conducted a scoping review guided by the Joanna Briggs Institute guidelines. The studies were searched using electronic databases like MEDLINE (PubMed), Science Direct, Cochrane Library, and manual searching engines. Two authors extracted the data and compared the results. Discrepancies were resolved by discussion or the third reviewer made the decision. We produced the distribution of geographical locations, residents (setting), types of publications, and digital health technologies used on neglected tropical diseases using tables and graphs. Findings A total of 996 potentially relevant studies were generated from the initial search, and six studies were found to satisfy all the inclusion criteria and included in the final review. The review found that telehealth, eHealth, mHealth, telemedicine, and electronic health record were used digital health technologies to assess their impact on case detection, disease management, and treatment outcome of neglected tropical diseases. Mobile health was a feasible digital health technology for lymphatic filariasis patient identification and mHealth, eHealth, and electronic health records found to improve the service access, outcomes, and monitoring of visceral leishmaniasis at the community health system. Conclusion The scoping review identified that there were limited studies to see the impact of digital health technologies on case detection, management, and treatment outcomes for neglected tropical diseases. We also found that digital health technologies like ehealth, electronic medical linkage, telemed, and telehealth were practicable for patient identification, for treatment and diagnosis through contact with health professionals and teleconsultation, and support in improving health service delivery at the community-health system for managing the disease in both rural and urban settings.

scholarly journals An Integrated Approach to the Prevention of Neglected Tropical Diseases (NTDs): The Way Forward?

2016 ◽  
Vol 3 (2) ◽  
pp. 179-186 ◽  
Author(s):  
Donald E. Stewart ◽  
Budi Laksono ◽  
M. J. Park ◽  
D. X. Wang
Keyword(s):  
Neglected Tropical Diseases ◽  
Integrated Approach ◽  
Tropical Diseases ◽  
The Way

scholarly journals Integrated Approach in the Control and Management of Skin Neglected Tropical Diseases in three health districts of Côte d’Ivoire

2019 ◽  
Author(s):  
Aboa Paul Koffi ◽  
Théodore Ange Kouakou Yao ◽  
YVES Thierry BAROGUI ◽  
Gabriel Diez ◽  
Simplice Djakeaux ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Neglected Tropical Diseases ◽  
Buruli Ulcer ◽  
Integrated Approach ◽  
Tropical Diseases ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Skin Conditions ◽  
Health Districts

Abstract Background Neglected Tropical Diseases (NTDs) comprise 20 communicable diseases that are prevalent in rural poor and remote communities with less access to the health system. For an effective and efficient control, the WHO recommends to affected countries the implementation of integrated control interventions that take into account the different co-endemic NTDs in the same community. However, implementing these integrated interventions involving several diseases with different etiologies, requiring different control approaches and driven by different vertical programs remains a challenge. We report here the results and lessons learned from a pilot test of this integrated approach based on integrated screening of skin diseases in three co-endemic health districts of Côte d'Ivoire, a West African country endemic for Buruli ulcer, leprosy and yaw three skin NTDs. Method This cross-sectional study took place from April 2016 to March 2017 in 3 Districts of Côte d’Ivoire co-endemic for BU, leprosy and yaws. It was carried out in 6 stages: identification of potentially co-endemic communities; stakeholder training; social mobilization; mobile medical consultations; case detection and management; and a review meeting. Results In total, 2310 persons screened had skin lesions at the screening stage. Among them, 07 cases were diagnosed as Buruli ulcer. There were 30 leprosy cases and 15 yaws detected. Other types of ulcerations and skin conditions have been identified and represent the majority of cases detected. We learned from this pilot experience that integration can be successfully implemented in co-endemic communities in Côte d’Ivoire. Health workers are motivated and available to implement integrated interventions instead of interventions focused on a single disease. However, it is essential to provide capacity building, a minimum of drugs and consumables for the care of the patients detected, as well as follow up of detected patients including those with other skin conditions. Conclusions The results of this study show that the integration of activities can be successfully implemented in co-endemic communities under the condition of a staff capacity building and a minimal care of the detected patients.

scholarly journals Integrated Approach in the Control and Management of Skin Neglected Tropical Diseases in three health districts of Côte d’Ivoire

2020 ◽  
Author(s):  
Aboa Paul Koffi ◽  
Théodore Ange Kouakou Yao ◽  
Yves Thierry BAROGUI ◽  
Gabriel Diez ◽  
Simplice Djakeaux ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Neglected Tropical Diseases ◽  
Buruli Ulcer ◽  
Integrated Approach ◽  
Tropical Diseases ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Skin Conditions ◽  
Health Districts

Abstract Background Neglected Tropical Diseases (NTDs) comprise 20 communicable diseases that are prevalent in rural poor and remote communities with less access to the health system. For an effective and efficient control, the WHO recommends to affected countries the implementation of integrated control interventions that take into account the different co-endemic NTDs in the same community. However, implementing these integrated interventions involving several diseases with different etiologies, requiring different control approaches and driven by different vertical programs remains a challenge. We report here the results and lessons learned from a pilot test of this integrated approach based on integrated screening of skin diseases in three co-endemic health districts of Côte d'Ivoire, a West African country endemic for Buruli ulcer, leprosy and yaw. Method This cross-sectional study took place from April 2016 to March 2017 in 3 Districts of Côte d’Ivoire co-endemic for BU, leprosy and yaws. It was carried out in 6 stages: identification of potentially co-endemic communities; stakeholder training; social mobilization; mobile medical consultations; case detection and management; and a review meeting. Results We have included in the study all patients with ‘skin signs and symptoms at the screening stage who accepted voluntarily to be screened. In total, 2310 persons screened had skin lesions at the screening stage. Among them, 07 cases were diagnosed as Buruli ulcer. There were 30 leprosy cases and 15 yaws detected. Other types of ulcerations and skin conditions have been identified and represent the majority of cases detected. We learned from this pilot experience that integration can be successfully implemented in co-endemic communities in Côte d’Ivoire. Health workers are motivated and available to implement integrated interventions instead of interventions focused on a single disease. However, it is essential to provide capacity building, a minimum of drugs and consumables for the care of the patients detected, as well as follow up of detected patients including those with other skin conditions. Conclusions The results of this study show that the integration of activities can be successfully implemented in co-endemic communities under the condition of a staff capacity building and a minimal care of the detected patients.

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