軽視された病気,内戦,そして健康への権利
Chris Beyrer1, Juan Carlos Villar, Voravit Suwanvanichkij
1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. cbreyer@jhsph.edu
Lancet (London, England)
|August 21, 2007
まとめ
貧しい統治と政治的抑圧は,見捨てられた熱帯病を悪化させる. 人権侵害に対処することは,脆弱な集団における感染症の負担を制御するために極めて重要です.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- エピデミオロジー エピデミオロジー
- 人権 人権 人権 人権
背景:
- 忽略された熱帯病 (NTD) は,世界的な死亡率と罹患率を大幅に引き起こす原因です.
- 薬物提供の課題やその他の要因は,NTDの流行に寄与しています.
- NTDの流行病学に対するガバナンスと政治的抑圧の影響は,十分に検討されていない.
研究 の 目的:
- 軽視された疾患の疫学における,不適切な統治と政治的抑圧の役割を調査する.
- 人権侵害と感染症の負担との関連を強調する.
- 抑圧された集団を擁護し,研究する研究者の責任について議論する.
主な方法:
- ビルマ東部におけるフィラリア症のケーススタディ分析.
- コロンビアにおけるベクトル感染症 (チャガス病,リーシュマニア症,黄熱) の調査.
- 人権,統治,感染症の交差点に関する文献レビュー.
主要な成果:
- 貧しい統治と政治的抑圧は,見捨てられた病気の蔓延と影響を悪化させる.
- 組織的な人権侵害は,感染症の負担の増加と直接関連しています.
- ビルマとコロンビアの事例は,これらの有害なつながりを示している.
結論:
- 軽視された病気の効果的な管理には,ガバナンス不良と政治的抑圧の根本的な問題に対処する必要があります.
- 抑圧されたコミュニティ内のアドボカシーと倫理的研究は,世界的な健康戦略の不可欠な構成要素です.
- 人権の考慮を公衆衛生の介入に統合することは,無視された病気の負担を軽減するために非常に重要です.
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