Indian Fungal Infection National Declaration (I-Find) | JoVE Visualize

Area of Science:

Public Health
Infectious Diseases
Mycology

Background:

Serious fungal diseases are a neglected public health problem in India, affecting an estimated 4.1% of the population.
High mortality rates from invasive fungal diseases, drug-resistant pathogens (e.g., Candida auris, azole-resistant Aspergillus fumigatus), and COVID-19-associated mucormycosis highlight critical gaps in preparedness and care.
Deficiencies exist in surveillance, diagnostics, antifungal access, stewardship, workforce, capacity, and coordinated research despite existing networks.

Purpose of the Study:

To catalyze a structured, time-bound national response to elevate fungal diseases as a public health priority in India.
To measurably reduce morbidity, mortality, and fungal resistance through targeted interventions.
To identify at-risk populations and acknowledge major community mycoses, defining clear action domains.

Main Methods:

The Indian Fungal Infection National Declaration (I-FIND) outlines 9 core domains for action: governance, surveillance, diagnostics, clinical management, research, workforce development, public awareness, One Health, and accountability.
Proposals include establishing a National Task Force, a five-year fungal disease control strategy, integrating mycology networks, and setting diagnostic standards.
The declaration emphasizes antifungal stewardship and prioritizing translational research funding.

Main Results:

I-FIND identifies key at-risk populations and major community mycoses requiring attention.
It defines clear domains for action across multiple sectors to address fungal infections comprehensively.
The declaration provides a framework for national implementation and adoption.

Conclusions:

I-FIND seeks to elevate fungal diseases to a recognized public health priority in India.
It proposes a multi-faceted strategy to improve surveillance, diagnostics, treatment, and research.
The declaration is supported by major professional societies, guiding its formal adoption and implementation across India.