Neglected tropical diseases

Neglected tropical diseases
Number of people requiring interventions against neglected tropical diseases in 2015[1]
Specialty	Infectious disease

Neglected tropical diseases (NTDs) are a diverse group of tropical infections that are common in low-income populations in developing regions of Africa, Asia, and the Americas.^[2] They are caused by a variety of pathogens, such as viruses, bacteria, protozoa, and parasitic worms (helminths). These diseases are contrasted with the "big three" infectious diseases (HIV/AIDS, tuberculosis, and malaria), which generally receive greater treatment and research funding.^[3] In sub-Saharan Africa, the effect of neglected tropical diseases as a group is comparable to that of malaria and tuberculosis.^[4] NTD co-infection can also make HIV/AIDS and tuberculosis more deadly.^[5]

Some treatments for NTDs are relatively inexpensive. For example, treatment for schistosomiasis costs US$0.20 per child per year.^[6] Nevertheless, in 2010 it was estimated that control of neglected diseases would require funding of between US$2 billion and $3 billion over the subsequent five to seven years.^[7] Some pharmaceutical companies have committed to donating all the drug therapies required, and mass drug administration efforts (for example, mass deworming) have been successful in several countries.^[8] While preventive measures are often more accessible in the developed world, they are not universally available in poorer areas.^[9]

Within developed countries, neglected tropical diseases affect the very poorest in society. In the United States, there are up to 1.46 million families, including 2.8 million children, living on less than two dollars per day.^[10] In developed countries, the burdens of neglected tropical diseases are often overshadowed by other public health issues. However, many of the same issues put populations at risk in developed as well as developing nations. For example, other problems stemming from poverty, such as lack of adequate housing, can expose individuals to the vectors of these diseases.^[11]

Twenty neglected tropical diseases are prioritized by the World Health Organization (WHO), though other organizations define NTDs differently. Chromoblastomycosis and other deep mycoses, scabies and other ectoparasites, and snakebite envenomation were added to the WHO list in 2017.^[12] These diseases are common in 149 countries, affecting more than 1.4 billion people (including more than 500 million children)^[13] and costing developing economies billions of dollars every year.^[14] They resulted in 142,000 deaths in 2013, down from 204,000 deaths in 1990.^[15]