intermission 1: effrossyni gkrania-klotsas
DESCRIPTION
Effrossyni Gkrania-Klotsas: “Is it really helpful to talk about infectious diseases and Noncommunicable diseases separately?”TRANSCRIPT
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Is it really helpful to talk about communicable and non-communicable diseases
separately?
Effrossyni Gkrania-Klotsas
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Yes, it is helpful
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• We are losing the forest for the tree! NCDs are the real danger!
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WHO
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• We are winning in CDs, let some money flow towards the NCDs!
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WHO, 2011 Malaria Report
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UNAIDS/WHO Global HIV Case Response 2011
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UNAIDS/WHO Global HIV Case Response 2011
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No, it is not helpful
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I don’t know if we are really winning
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Morbidity Prevalence, 2004
• Total prevalence of communicable diseases 2.4 billion
• Total prevalence of non-communicable diseases 2.4 billion
WHO
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WHO, Global Immunization Data, 2010
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Estimated annual childhood deaths from vaccine preventable diseases,
2010• Hib: 260 000
• Pertussis: 195 000
• Measles: 118 000
• Neonatal tetanus: 59 000
• Tetanus (non-neonatal): 2 000
• Pneumococcal disease: 520 000
• Rotavirus: 527 000
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WHO
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• 57m deaths worldwide in 2008
• 16m communicable diseases
• 7.5m neoplasms (300k lymphomas, 270k leukemias, 413k oesophagus, 281k mouth and oropharynx,695k liver cancer…)
• 428k congenital anomalies…
• 4.2m respiratory diseases
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Zur Hausen, Virology, 392(1); 15 September 2009, 1-10
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It is not so simple
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Bill and Melinda Gates Foundation
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David M. Morens, Gregory K. Folkers & Anthony S. FauciNature 430, 242-249(8 July 2004)
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Infectious Diseases are affected by climate change
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We are losing conceptual tools
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Different classification systems (cause-based, outcome-based)
Many infections have become chronic illnesses (HIV)
Much morbidity and mortality in NCDs from CDs (SARS and Diabetes)
No public health research in the interface
Loss of analytical tools
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CD and non-CD?
• Good for funding, awareness, politics, advocacy
• Bad for science, methodology, speed of reaction
• Bad timing?
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