Intermission 1: Effrossyni Gkrania-Klotsas

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

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

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  • 1. Is it really helpful to talk about communicable and non-communicable diseases separately? Effrossyni Gkrania-Klotsas
  • 2.  
  • 3. Yes, it is helpful
  • 4.
    • We are losing the forest for the tree! NCDs are the real danger!
  • 5.  
  • 6. WHO
  • 7.
    • We are winning in CDs, let some money flow towards the NCDs!
  • 8. WHO, 2011 Malaria Report
  • 9. UNAIDS/WHO Global HIV Case Response 2011
  • 10. UNAIDS/WHO Global HIV Case Response 2011
  • 11.  
  • 12.  
  • 13.  
  • 14. No, it is not helpful
  • 15. I don’t know if we are really winning
  • 16. Morbidity Prevalence, 2004
    • Total prevalence of communicable diseases 2.4 billion
    • Total prevalence of non-communicable diseases 2.4 billion
    WHO
  • 17. WHO, Global Immunization Data, 2010
  • 18. 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
  • 19. WHO
  • 20.
    • 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
  • 21. Zur Hausen, Virology, 392(1); 15 September 2009, 1-10
  • 22. It is not so simple
  • 23. Bill and Melinda Gates Foundation
  • 24. David M. Morens, Gregory K. Folkers & Anthony S. Fauci Nature 430, 242-249(8 July 2004)
  • 25. Infectious Diseases are affected by climate change
  • 26. We are losing conceptual tools
  • 27.
    • 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
  • 28. CD and non-CD?
    • Good for funding, awareness, politics, advocacy
    • Bad for science, methodology, speed of reaction
    • Bad timing?
  • 29.