打破障碍:解决非洲阿尔茨海默病诊断和治疗中的不平等问题

Olivier Uwishema, Bezawit Kassahun Bekele, Abubakar Nazir, Erick Filbert Luta, Elaf Abdulnaser Al-Saab, Irakiza Jacques Desire, Chukwuma Franklin ozioma, Magda Wojtara
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引用次数: 0

摘要

阿尔茨海默病(AD)对整个非洲的公共卫生构成了巨大的、不断升级的威胁。阿尔茨海默病会导致严重的认知障碍和记忆丧失,给患者及其家人、朋友和护理人员带来沉重负担。非洲有 267 万人患有这种疾病,其中大多数人生活在撒哈拉以南非洲。据世界卫生组织估计,到 2050 年,这种疾病的发病率预计将急剧上升到全球约 1.5 亿人。 本文综合介绍了非洲阿尔茨海默病的情况,包括已知的遗传风险和可改变的风险,讨论了诊断和治疗方面的现有挑战、到 2050 年的患病率和残疾调整生命年负担预测,以及重新平衡等式所需的优先政策应对措施。 本文研究了现有文献,总结了当前有关非洲阿尔茨海默病的风险因素、诊断、治疗和负担的知识。收集了与非洲阿尔茨海默病相关的流行病学评估、临床指南和评论。 这些数据揭示了非洲阿尔茨海默病诊断和护理方面令人担忧的现实情况。诊断基础设施不足、资源限制和知识差距是反复出现的障碍。正电子发射计算机断层扫描(PET)、脑脊液检测和其他发达国家常见的主要检测方式的可用性受到限制。 要解决非洲的阿尔茨海默病危机,需要采取多管齐下的战略,以提高诊断能力、治疗可用性、专家培训、公众意识和协调决策。优先使用生物标志物和成像技术来确认早期神经变性,同时扩大药物的可及性,这是一项基础性工作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Breaking barriers: addressing inequities in Alzheimer’s disease diagnosis and treatment in Africa
Alzheimer’s disease (AD) represents a substantial and escalating public health threat across Africa.Alzheimer’s disease leads to substantial cognitive impairment and memory loss, placing a heavy burden on both the affected individuals and their families, friends, and caregivers. It affects 2. 67 million people in Africa of which the majority live in sub-Saharan Africa. The prevalence of this disease is expected to rise drastically to approximately 150 million individuals worldwide by 2050, as estimated by the World Health Organization. This paper offers an integrative profile of Alzheimer’s disease in Africa spanning known genetic and modifiable risks, discuss the existing challenges in diagnosis and treatment, projections on prevalence and disability-adjusted life year burden through 2050, and priority policy responses needed to rebalance the equation. This paper examines available literature to summarize current knowledge on risk factors, diagnosis, treatments, and burden of Alzheimer’s disease in Africa. Gathering epidemiological assessments, clinical guidelines and commentary related to Alzheimer’s disease in Africa. The data reveals concerning realities regarding Alzheimer’s disease diagnosis and care in Africa. Diagnostic infrastructure shortcomings, resource limitations and knowledge gaps emerge as recurring barriers. PET scans, CSF assays and other mainstay detection modalities common in developed countries show restricted availability Addressing Africa’s Alzheimer’s disease crisis demands a multi-pronged strategy to uplift diagnostic capacities, treatment availability, specialist training, public awareness and coordinated policymaking. Prioritizing biomarkers and imaging to confirm early neurodegeneration is foundational, alongside drug access expansion.
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