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Infectious diseases are the leading cause of illness and death in poor countries and especially in the tropics where the ecology and biodiversity is naturally favoring the development of novel pathogens, challenging global efforts towards infectious diseases control.
Tropical countries are experiencing resurgence of emerging and re-emerging infectious diseases (Ebola, Monkey Pox, Yellow fever, poliomyelitis, meningitis, etc.) and the threat they constitute is growing bigger in the point to jeopardize global heath security.
While more attention is paid to the public health management of infectious diseases, focusing on either prevention, detection or response; clinical management of infectious diseases seems to be a little neglected in the tropics. Yet, front-line clinicians are the first to detect the presence of a novel infectious disease. Moreover clinical data they provide are critical in elaborating case definition, identifying risk factors and preventing disease spread in the community due to hospital amplification.
Effective infectious diseases control should rely on the complementary role between clinicians, laboratorians and epidemiologists. Improving and sustaining a core capacity for each key player’s area of expertise will for sure enhance infectious diseases control.
Clinical management of infectious diseases can be improved in the tropics by:
– Ensuring workforce development: making trainings available to health workers at all levels. Trainings will build capacity in case detection, sampling, reporting and management.
– Improving access to novel infectious diseases therapeutic methods: access to the range of available therapeutic methods is prevented by poverty in the tropics. Developing affordable and cost effective methods specific to the context of tropical countries is one of the challenges to address.
– Improving clinical data collection and reporting to drive the development of infectious diseases clinical management strategies, guidelines and protocols based on evidence. Then disseminate those regulatory documents and best practices.
– Expanding the role of clinical laboratory to detect and characterize infectious pathogens so as to better drive case management. It’s has been proven that early and accurate diagnostic leads to adequate and prompt treatment reducing disease economic and social burden, preventing drug misuse and thus the emergence of drug resistance which is hampering clinical case management.

Post Author: admin