title: Opportunities for Integrated Control of Neglected Tropical Diseases That Affect the Skin.
abstract: Many neglected tropical diseases (NTDs) affect the skin, causing considerable disability, stigma, and exacerbation of poverty. However, there has been relatively little investment into laboratory research, epidemiology, diagnostic tools or management strategies to control tropical skin disease. Integration may advance the control of skin disease across a range of domains, including mapping, diagnosis, clinical management, and community control measures such as mass drug administration. Examples of successful integration strategies include programs targeting scabies, impetigo, yaws, and diseases causing lymphoedema. Future strategies should build on these experiences and the experience of integration of other NTDs, strengthen existing health systems, and contribute toward the attainment of Universal Health Coverage. Strong partnerships and political support and will be necessary to achieve these goals.
authors.affiliation: Centre for International Child Health, University of Melbourne, Melbourne, Australia; Group A Streptococcal Research, Murdoch Childrens Research Institute, Melbourne, Australia. Electronic address: Daniel.Engelman@rch.org.au.
authors.forename: Daniel
authors.initials: D
authors.lastname: Engelman
authors.affiliation: Chelsea and Westminster Hospital, London, UK; International Foundation for Dermatology, London, UK.
authors.forename: L Claire
authors.initials: LC
authors.lastname: Fuller
authors.affiliation: Department of Control of Neglected Tropical Diseases, World Health Organization, Geneva, Switzerland.
authors.forename: Anthony W
authors.initials: AW
authors.lastname: Solomon
authors.affiliation: Queensland Institute of Medical Research Berghofer Medical Research Institute, University of Queensland, Brisbane, Australia.
authors.forename: James S
authors.initials: JS
authors.lastname: McCarthy
authors.affiliation: International Foundation for Dermatology, London, UK; King's College London, King's College Hospital National Health Service Trust, London, UK.
authors.forename: Roderick J
authors.initials: RJ
authors.lastname: Hay
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Lammie
authors.affiliation: Centre for International Child Health, University of Melbourne, Melbourne, Australia; Group A Streptococcal Research, Murdoch Childrens Research Institute, Melbourne, Australia.
authors.forename: Andrew C
authors.initials: AC
authors.lastname: Steer
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use; D003695:Delivery of Health Care / Q000592:standards / Q000639:trends; D006801:Humans; D058069:Neglected Diseases / Q000188:drug therapy / Q000469:parasitology / Q000517:prevention & control*; D012871:Skin Diseases / Q000188:drug therapy / Q000469:parasitology / Q000517:prevention & control*; D014330:Tropical Medicine / Q000592:standards / Q000639:trends
chemical_list: D000890:Anti-Infective Agents
keywords: mass drug administration; neglected tropical disease; scabies; skin disease; yaws