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世界で最も貧しい国々へのインスリン
1Royal Free and University College London School of Medicine, Whittington Hospital, UK. j.yudkin@ucl.ac.uk
Lancet (London, England)
|February 7, 2001
まとめ
1型糖尿病は,インスリンが不足しているため,開発途上国では致命的です. ある提案では,インスリンメーカーが,最も貧しい国々の命を救うために,年間300~500万ドルを寄付することを提案しています.
科学分野:
- 内分泌学と新陳代謝について
- グローバル・ヘルス グローバル・ヘルス
- 公共衛生政策 公共衛生政策
背景:
- 1型糖尿病 (T1D) の管理は,インスリンが一時的に入手可能で費用がかかるため,開発途上国では非常に制限されています.
- ケトアシドーシスは,低所得地域のT1Dによる死亡の重要な原因であり,寿命を大幅に短縮しています.
- 高負債貧困国 (HIPCs) は,インスリンなどの必須医薬品へのアクセスに影響を及ぼし,実質的な健康プログラム課題に直面しています.
研究 の 目的:
- 1型糖尿病患者のためにHIPCでインスリンにアクセスする必要性を強調する.
- 資源が限られた環境で必須のインスリン療法を提供するための持続可能な解決策を提案する.
- T1Dの格差に対処する世界的な健康イニシアチブを提唱する.
主な方法:
- 工業国と比較したHIPCにおけるT1Dの発生率と予後分析.
- HIPCにおけるT1D患者の治療に必要な全インスリン量の推定.
- 製造業者によるインスリン提供に関する提案の策定.
主要な成果:
- 全世界のインスリン使用量のわずか (0.48%) は,HIPCのすべてのT1D患者を治療することができる.
- 十分なインスリン提供のための推定年間費用は300万~500万米ドルです.
- 提案されたイニシアチブには,T1D患者の配布と教育が含まれています.
結論:
- 世界で最も貧しい国の1型糖尿病患者は,インスリンが買えなくなって死ぬべきではない.
- インスリン製造会社と世界保健機関との共同努力によって,インスリン不足を補うことができる.
- この寄付プログラムの実施は,HIPCにおけるT1D患者のアウトカムを大幅に改善することができます.
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