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x THIRD WHO REPORT ON NEGLECTED TROPICAL DISEASES *** While the emphasis is on long-term financing needs, the report also charts remarkable and accelerating progress. Further momentum comes from the stepped-up commitment of many endemic countries that now see an end in sight and are determined to get there. Well over 70 countries are implementing or ready to kick-off their master plans for the integrated and accelerated control of these diseases. Verification that lymphatic filariasis has been eliminated has begun in six countries. Sustained efforts by a network of African countries have reduced the incidence of human African trypanosomiasis by 90%. At the end of 2014, 27 countries had already achieved the WHO target of 75% treatment coverage of school-age children to prevent soil-transmitted helminthiases. Since 2006, over 5 billion anti-parasitic treatments have been delivered. During 2012 and 2013, the pharmaceutical industry donated 2.5 billion treatments. Over 800 million people were treated in 2012 alone. These outstanding results are a tribute to what committed governments, working with equally committed and enthusiastic partners, led by WHO, can do to relieve vast human misery, distribute economic gains more evenly, and free masses of people long trapped in poverty, from one generation to the next. Universal health coverage is one of the most powerful social equalizers among all policy options. Setting this as a future goal for diseases that affect so many can contribute to the social stability and resilience to shocks that our troubled world so visibly and badly needs. In other words, when countries and their partners invest in these diseases, they get a windfall of benefits in return. Dr Margaret Chan Director-General World Health Organization
*** EXECUTIVE SUMMARY xi EXECUTIVE SUMMARY Introduction Investing to overcome the global impact of neglected tropical diseases charts new ground in tackling the 17 neglected tropical diseases (NTDs) that affect more than a billion people in 149 countries worldwide. It makes the case for domestic investment to reach the targets of WHO’s Roadmap on NTDs by 2020 and sustain enhanced, equitable access to high-quality coverage against these diseases to 2030. This third WHO report anticipates the investments needed as countries graduate from low-income to middle-income status and as the world’s focus expands from the Millennium Development Goals to the Sustainable Development Goals. Confronting challenges, registering progress In May 2013, the Sixty-sixth World Health Assembly adopted resolution WHA66.12 on neglected tropical diseases. To ensure that the Resolution has greatest impact, partners, stakeholders and academia are encouraged to generate further momentum for transforming its recommendations into reality. This report discusses the progress achieved to date. More than 74 countries worldwide are ready to implement national NTD master plans, stimulating increased demand for programme implementation and donated medicines – crucial to reaching the Roadmap’s targets. More people than ever received preventive treatment for at least one disease in 2012. Globally, a total of 27 countries have achieved the target of 75% treatment coverage of schoolage children for soil-transmitted helminthiases. Sustained efforts over the past 15 years have reduced the number of new cases of human African trypanosomiasis by 90%. In 2013, Colombia became the first country in which WHO verified the elimination of onchocerciasis (river blindness), followed by Ecuador in 2014. Bangladesh is poised to eliminate visceral leishmaniasis as a public-health problem. China has sustained its national schistosomiasis control programme and interrupted transmission in most endemic areas. Since 2006, more than 5 billion anti-parasitic treatments, mostly donated by the pharmaceutical industry, have been delivered to populations in need. Although support from major donors continues and important progress has been achieved, challenges remain. While this report focuses on the need for enhanced domestic investment, it considers what the universal health coverage (UHC) targets imply for NTD programmes in terms of population coverage with prevention and financial risk-protection against the cost of treatment and care.
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*** ANNEXES 179 ANNEXES
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*** ANNEXES 183 WHA66.12 Recognizin
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*** ANNEXES 185 WHA66.12 3. REQUEST
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*** ANNEXES 189 Annex 5. Medicines
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*** ANNEXES 191 WHO REGIONAL OFFICE
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