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为世界上最贫穷的国家提供胰岛素
1Royal Free and University College London School of Medicine, Whittington Hospital, UK. j.yudkin@ucl.ac.uk
Lancet (London, England)
|February 7, 2001
概括
在发展中国家,由于缺乏胰岛素,1型糖尿病是致命的. 一项提案建议胰岛素制造商每年捐赠300-500万美元,以拯救最贫穷国家的生命.
科学领域:
- 内分泌学和新陈代谢学
- 全球健康 全球健康
- 公共卫生政策 公共卫生政策
背景情况:
- 在发展中国家,由于间歇性胰岛素的可用性和成本,1型糖尿病 (T1D) 的管理严重受限.
- 酸性仍然是低收入地区T1D死亡的重要原因,大大减少了预期寿命.
- 高负债穷国 (HIPCs) 面临着重大的卫生计划挑战,影响了获得胰岛素等必需药物的机会.
研究的目的:
- 为突出1型糖尿病患者在HIPC获得胰岛素的关键需求.
- 提出一种可持续的解决方案,在资源有限的环境中提供必要的胰岛素治疗.
- 倡导解决T1D差异的全球卫生倡议.
主要方法:
- 与工业化国家相比,HIPC中T1D发病率和预后的分析.
- 在HIPC中治疗T1D患者所需的全球胰岛素数量的估计.
- 关于制造商捐赠胰岛素的提案的制定.
主要成果:
- 全球胰岛素使用的一小部分 (0.48%) 可以治疗HIPC中的所有T1D患者.
- 据估计,获得足够的胰岛素捐赠的年度成本为300万至500万美元.
- 拟议的倡议包括为T1D患者进行分发和教育.
结论:
- 世界最贫困国家的1型糖尿病患者不应该因为无法负担胰岛素而死亡.
- 胰岛素制造商和全球卫生组织之间的合作努力可以弥合胰岛素差距.
- 实施这一捐赠计划可以显著改善T1D患者在HIPC的结果.
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