Intermission 1: Effrossyni Gkrania-Klotsas

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Is it really helpful to talk about communicable and non-communicable diseases separately? Effrossyni Gkrania- Klotsas

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Effrossyni Gkrania-Klotsas: “Is it really helpful to talk about infectious diseases and Noncommunicable diseases separately?”

Transcript of Intermission 1: Effrossyni Gkrania-Klotsas

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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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