01901nas a2200253 4500000000100000008004100001653002100042653003900063653001800102653002400120653001800144653001700162653002300179653002300202100002200225700001500247700001300262700001200275700001600287700001100303245006700314520125200381022001401633 2014 d10aTropical disease10aNeglected tropical diseases (NTDs)10aInterventions10aInfectious Diseases10aGlobal health10aEpidemiology10aDisease prevention10aDisease Management1 aBlood-Siegfried J1 aZeantoe CG1 aEvans LJ1 aBondo J1 aForstner JR1 aWood K00aThe impact of nurses on neglected tropical disease management.3 a

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.

 a1525-1446