By Josh Ruxin
Founder and Director, The Access Project
Assistant Professor in Public Heath, Columbia University
Neglected tropical diseases (NTDs), though massively widespread, can be defeated with a much more modest investment than it takes to fight pandemics like AIDS and tuberculosis. Ironically, because they are less well-known and potentially easier to fight than well-publicized scourges, they have always been shunted off to the side of the global public health agenda.
Recognizing the tremendous toll NTDs take on a country’s ability to pull itself out of poverty, and understanding the relative ease with which these scourges can be treated, a group of private, public and international organizations banded together to launch an integrated assault on NTDs. Rwanda has been one of the beneficiaries of the efforts of this Global Network for Neglected Tropical Diseases, and in March 2009, nearly 4 million children were treated for the two most prevalent and debilitating parasitic infections, schistosomiasis and soil-transmitted helminthes (intestinal worms), in the course of just four days.
The intervention was sorely needed: a survey carried out by my NGO, the Access Project, showed that intestinal worm infections had an average prevalence of 66% among children, and in some areas, 95%. Schistosomiasis had an overall prevalence rate of 2.7%, but prevalence among children living in close proximity to lakes exceeded 70%. These infections can devastate entire communities if left untreated, which up until recently had almost always been the case. This devastation is not dramatic and visible –- as in the examples of AIDS, TB or malaria — but it is more subtle and, arguably, even more damaging.
Continue reading