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The Impact of Nurses on Neglected Tropical Disease Management
Authors:Jane Blood‐Siegfried DNSc  CPNP  G. Clinton Zeantoe MSN  RN  Lauren J. Evans MSN  FNP‐BC  John Bondo BSc  RN  James R. Forstner MD  Kathryn Wood PhD  RN
Affiliation:1. Duke University School of Nursing, Durham, NC;2. Winifred J. Harley College of Health Sciences, United Methodist University, Ganta, Liberia;3. Mother Patern School of Health Sciences, Monrovia, Liberia;4. Coastal Immediate Primary Care, Southport, NC
Abstract:Although Neglected Tropical Diseases (NTDs) are largely endemic in the developing nations of Africa, Asia, and South and Central America, they are reemerging with increasing frequency in developed countries. Their diagnosis, treatment, and control are an increasing public health concern that requires a different awareness by health care providers. Neglected tropical diseases (NTDs) are chronic infectious diseases which disproportionately burden poor, rural, and marginalized populations with significant mortality and high morbidity (disability, disfigurement, impaired childhood growth and cognitive development, increased vulnerability to coinfection) that reinforces their poverty. What can we learn from the nurses in developing countries already battling NTD's that could be useful in the developed world? This article provides an overview of distribution, pathophysiology, symptoms, and management of 13 NTDs, with particular attention to the role of nurses in delivering cost‐effective integrated interventions. Case studies of schistosomiasis, Chagas disease, and leishmaniasis address recognition and treatment of infected individuals in developed nations where NTD infection is limited primarily to immigrants and travelers.
Keywords:disease management  disease prevention  epidemiology  global health  infectious diseases  interventions  tropical disease  vulnerable populations
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