Concerted efforts needed to end ‘neglected diseases’

As Rwanda marked World Neglected Tropical Diseases Day on Monday, January 30, experts in public health called for concerted efforts in addressing the 20 diseases affecting 1.7 billion people globally. Eight of the 20 diseases categorised by the World Health Organization (WHO) as neglected tropical diseases (NTDs) affect thousands of people in Rwanda every year. These are; intestinal worms (affecting 41 per cent of Rwandans, with a 48 per cent prevalence in adults), bilharzia/ schistosomiasis (1,000 cases), podoconiosis (about 6,000 cases annually), scabies (100,000 cases), taeniasis (3,000 cases), cysticercosis, rabies from dog bites (1,000 cases), and snakebites envenomation (1,500 cases). ALSO READ: Rwanda commits to ending neglected tropical diseases “The neglected diseases are found mostly in sub-Saharan African countries. They are neglected because they are not given the same attention as other diseases affecting the world,” Dr Aimable Mbituyumuremyi, Division Manager of Malaria and NTDs at Rwanda Biomedical Centre (RBC), said. “These are diseases that have been a problem for over 20 years and yet meagre resources are allocated to their response.” Another reason, Mbituyumuremyi said, was that even the people affected by the NTDs tend to ignore their impact, hence complicating the medical treatment. Medical personnel tends to get training in the treatment of other prominent diseases, such as malaria, HIV/AIDS, and TB, and the same case with research output. “If a patient with scabies goes to the hospital for a lighter problem like bruises, the medic will likely treat the wound and ignore scabies. So, these diseases are neglected by all sides,” he said. WHO says the diseases can be eliminated, if the government, non-government organisations, and the general population joined efforts. “Concerted efforts are needed to reduce the health burden of NTDs in Rwanda. There’s a need for a rigorous awareness campaign, to sensitise the people about using clean water and best sanitation practices,” said Dr Jules Mugabo, in charge of Malaria and NTDs at WHO Rwanda. “The diseases can be prevented, reduced, and even eradicated. They shouldn’t be called neglected, because they affect a lot of people and contribute to poverty levels.” The Ministry of Health says “remarkable progress” has been made in the fight against NTDs in Rwanda. Sleeping sickness was eliminated in Rwanda (validated by WHO in April 2022) and six other NTDs that were historically or potentially endemic are no longer public health problems for the Rwandan population. Since 2008, over 65 million treatments against intestinal worms and schistosomiasis have been delivered to children aged 1-15 through bi-annual deworming for intestinal worms, and once a year for schistosomiasis. Deworming coupled with the progress made in water sanitation, hygiene, awareness, and intestinal worm prevalence, decreased to less than 20 per cent from 66 per cent in 2008 to 41 per cent in 2020 among surveyed school-aged children.

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Concerted efforts needed to end ‘neglected diseases’