Effects of New Biological Threats on Health Security and Safety in Nigeria: Looking Back and Looking Forward

F. Okonofua
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Abstract

Over the past decades, several old and new infectious diseases have featured as major contributors to Nigeria’s health vulnerability, with evidence indicating that sufficient gains are yet to be made in tackling their dominance. Since the colonial and post-colonial periods, Nigeria has witnessed several episodes of serious biological threats from small pox, yellow fever, poliomyelitis, rabies, measles, plaque and several others – and it took years of sustained efforts to reduce their prevalence. Indeed, over the succeeding years, infectious diseases such as dengue fever, lymphatic filariasis, trachoma, leishmaniosis, buruli ulcer, leprosy, dracunculiasis (guinea worm) and Chagas disease became so dominant and sustained within the African region that for lack of a better definition, they have been collectively referred to as “neglected tropical diseases” (NTD) (WHO, 2010). NTD became a dominant lexicon for describing about 20 diseases that had been “neglected” within international programmatic focus and the fact that they affect the world’s largest communities and individuals. To date, the World Health Organization (WHO, 2021) estimates that NTDs affect about one billion persons worldwide, with the majority being residents in sub-Saharan African countries and other low-income countries around the world. Despite the continued expansion of the spheres of these infections, very limited progress has yet been made in restraining the health and social impact of the NTDs, especially in low and middle-income countries.
新的生物威胁对尼日利亚卫生安全和安全的影响:回顾和展望
过去几十年来,一些新旧传染病成为尼日利亚健康脆弱性的主要原因,有证据表明,在解决这些疾病占主导地位的问题方面,尚未取得足够的进展。自殖民时期和后殖民时期以来,尼日利亚经历了几次严重的生物威胁,包括天花、黄热病、脊髓灰质炎、狂犬病、麻疹、斑块和其他几种疾病,经过多年的持续努力才减少了这些疾病的流行。事实上,在随后的几年中,登革热、淋巴丝虫病、沙眼、利什曼病、布鲁里溃疡、麻风病、麦地那龙线虫病和恰加斯病等传染病在非洲区域变得如此普遍和持续,以至于由于缺乏更好的定义,它们被统称为"被忽视的热带病"(世卫组织,2010年)。非传染性疾病成为描述在国际规划重点中被“忽视”的大约20种疾病以及它们影响世界上最大的社区和个人这一事实的主要词汇。世界卫生组织(世卫组织,2021年)估计,迄今为止,被忽视的热带病影响着全世界约10亿人,其中大多数是撒哈拉以南非洲国家和世界各地其他低收入国家的居民。尽管这些感染的范围继续扩大,但在遏制被忽视热带病的健康和社会影响方面,特别是在低收入和中等收入国家,尚未取得非常有限的进展。
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