0Coinfections and comorbidities in African health systems: At the interface of infectious and noninfectious diseases

被引:19
作者
Osakunor, Derick Nii Mensah [1 ]
Sengeh, David Moinina [2 ]
Mutapi, Francisca [1 ,3 ]
机构
[1] Univ Edinburgh, Inst Immunol & Infect Res, Ctr Infect Immun & Evolut, Ashworth Labs, Edinburgh, Midlothian, Scotland
[2] Int Business Machines Res Africa, Johannesburg, South Africa
[3] Univ Edinburgh, Natl Inst Hlth Res, Global Hlth Res Unit Tackling Infect Benefit Afri, Ashworth Labs, Edinburgh, Midlothian, Scotland
来源
PLOS NEGLECTED TROPICAL DISEASES | 2018年 / 12卷 / 09期
基金
英国惠康基金;
关键词
INFLUENZA-VIRUS INFECTION; HELMINTH INFECTION; COGNITIVE FUNCTION; RISK-FACTORS; HIV; TUBERCULOSIS; MALARIA; CARE; SCHISTOSOMIASIS; IMMUNIZATION;
D O I
10.1371/journal.pntd.0006711
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
There is a disease epidemiological transition occurring in Africa, with increasing incidence of noninfectious diseases, superimposed on a health system historically geared more toward the management of communicable diseases. The persistence and sometimes emergence of new pathogens allows for the occurrence of coinfections and comorbidities due to both infectious and noninfectious diseases. There is therefore a need to rethink and restructure African health systems to successfully address this transition. The historical focus of more health resources on infectious diseases requires revision. We hypothesise that the growing burden of noninfectious diseases may be linked directly and indirectly to or further exacerbated by the existence of neglected tropical diseases (NTDs) and other infectious diseases within the population. Herein, we discuss the health burden of coinfections and comorbidities and the challenges to implementing effective and sustainable healthcare in Africa. We also discuss how existing NTD and infectious disease intervention programs in Africa can be leveraged for noninfectious disease intervention. Furthermore, we explore the potential for new technologies-including artificial intelligence and multiplex approaches-for diagnosis and management of chronic diseases for improved health provision in Africa.
引用
收藏
页数:20
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