一个致命的方程:美国结核病资金削减的全球损失
Sandip Mandal1, Sreenivas Nair2, Suvanand Sahu2
1Center for Modeling and Analysis, Avenir Health, Glastonbury, Connecticut, United States of America.
PLOS global public health
|September 10, 2025
概括
美国削减资金危及结核病 (TB) 服务,可能导致数百万新的结核病例和数十万死亡. 迫切的替代资金对于维持全球结核病控制努力和保护弱势群体至关重要.
科学领域:
- 全球健康 全球健康
- 传染病流行病学 传染病流行病学
- 卫生经济学 卫生经济学
背景情况:
- 美国的财政支持对结核病 (TB) 服务提供至关重要,包括诊断,治疗和结核病-艾滋病毒共感染干预措施.
- 取消这笔资金将威胁到消除结核病和实现可持续发展目标的进展.
研究的目的:
- 分析26个高结核病负担国家 (HBC) 对美国资金的依赖.
- 模拟削减资金对结核病服务提供和结果的潜在影响.
主要方法:
- 建模三个恢复场景:最小的 (3个月),中等的 (1年) 和最坏的情况 (长期减少).
- 根据代表性国家,在26个HBC中推断影响.
主要成果:
- 在2025-2030年间,估计的额外结核病例范围从0.63万 (最小影响) 到10.67万 (最坏的情况下).
- 预计结核病死亡人数从99,900人 (影响最小) 增加到2,243,700人 (最坏的情况下).
- 削减资金严重危及全球结核病控制和弱势群体.
结论:
- 美国资金流失对全球结核病控制工作构成严重威胁.
- 紧急的替代资金对于维持结核病预防和治疗计划至关重要.
- 干扰不成比例地影响弱势群体,危及数百万人的生命.
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