Ending neglected tropical diseases3Ending neglected tropical diseases2
In 2010, WHO conrmed the adverse socioeconomic impact of NTDs
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on developmentand quality of life at all levels. WHO recommends ve public health strategies for theprevention, control, or elimination of NTDs : (i) preventative chemotherapy; (ii) intensiedcase management; (iii) vector control; (iv) provision of safe water, sanitation and hygiene;and (v) veterinary public health. Of these, preventative chemotherapy and intensied casemanagement are directly relevant to the research-based pharmaceutical industry’s medicinedonation programmes. There are six NTDs for which
preventative chemotherapy
(i.e. treatment is applied to thewhole population at risk, not just those infected) is an important approach. For diseasessuch as lymphatic lariasis, onchocerciasis (river blindness), soil-transmitted helminthiases,schistosomiasis, fascioliasis, and blinding trachoma, the adequate supply of medicines can leadto elimination.For those diseases where no preventative medicines exist,
intensive case management(ICM)
can be used. ICM involves caring for infected individuals and those at risk of infection. This strategy depends on early diagnosis, treatment to ght infection and reduced morbidity,and management of complications. ICM diseases are Chagas disease, human Africantrypanasomiasis (HAT, also known as sleeping sickness), and leprosy.While the research-based pharmaceutical industry has an important role to play, it is onlyone of the global “community of partners” ghting NTDs. Governments and other healthcarestakeholders will also need to increase funding for country NTD programmes, improve waterquality and sanitation, and strengthen their capacity-building and education eorts to reducedisease burden.
Disease profles: why these NTDs matter
This publication showcases nine NTDs where the industry is playing a vital role in achievingcontrol or elimination. The following disease proles demonstrate why these illnesses matter,and how the research-based pharmaceutical industry’s donations are making a dierence tothe lives of hundreds of millions of people in the developing world.
The WHO 2020 NTD goals and the role o theresearch-based pharmaceutical industry Commitment o pharmaceutical companies:
Estimated number o treatments to be donated
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WHO, Accelerating work to overcome the global impact of neglected tropical diseases.A roadmap for implementation”, 2012.
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Nifurtimox, generally used as 2nd-line drug.
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The Bill and Melinda Gates foundation is also contributing.
200 m0 m400 m600 m800 m1,000 m1,200 m1,400 m1,600 m1,800 m
N u m b e r o f t r e a t m e n t s i n m i l l i o n s
20112012 20132014201520162017 2018 2019 20202011
988,119,804
2012
1,138,161,660
2013
1,466,004,495
2014
1,673,246,832
2015
1,614,129,890
2016
1,639,148,067
2017
1,615,598,662
2018
1,571,679,388
2019
1,450,229,614
2020
1,379,734,967
Total 2011-2020 14,536,053,379
Average per Year 1,453,605,338
Human African trypanosomiasis:
Pentamidine/Melarsoprol/Eornathine (Sano)
Trachoma:
Zithromax® (Pzer)
Fascioliasis:
Egaten (Triclabendazole) (Novartis)
Leprosy:
Rimactane/Lamprene (Novartis)
Schistosomiasis:
Prazinquantel (Merck KGaA)
Onchocerciasis:
Mectizan (Ivermectin) (Merck & Co., Inc.)
Soil transmitted helminthiases:
Mebendazole (Johnson & Johnson)
Soil transmitted helminthiases:
Albendazole (GlaxoSmithKline)
Lymphatic lariasis:
Mectizan® (Ivermectin) (Merck & Co., Inc.)
Lymphatic lariasis:
Albendazole (GlaxoSmithKline)
Lymphatic lariasis:
Diethylcarbamazine citrate (Eisai)
Chagas:
Nifurtimox
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(Bayer)
Lymphatic lariasis:
Diethylcarbamazine citrate (Eisai / Sano
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)
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