Neglected Funding for Vector-Borne Diseases A Near Miss This Time, a Possible Disaster the Next Time 英文参考文献.docVIP

Editorial NeglectedFundingforVector-BorneDiseases:ANear MissThisTime,aPossibleDisastertheNextTime A.Desire′eLaBeaud1,SerapAksoy2* 1CenterforImmunobiologyandVaccineDevelopment,Children’sHospitalOaklandResearchInstitute,Oakland,California,UnitedStatesofAmerica,2Epidemiologyand PublicHealth,YaleSchoolofPublicHealth,NewHaven,Connecticut,UnitedStatesofAmerica Vector-borne diseases(VBDs)aresome of the world’s most common and devas- tating maladies. Despite this truth, the United States government had decided to drastically cut funding for the Divi- sion of Vector-Borne Infectious Diseases (DVBID) program of the Centers for Disease Control and Prevention (CDC) in the Fiscal Year 2011 Labor, Health and Human Services and Education appropriations bill [1]. Nearly US$27 million had been removed from the DVBID financial plan in the President’s FY 2011 budget, slashing DVBID fund- ingfromUS$39milliontoUS$12million. Although the program is minimally sup- ported by other agencies, this 70% funding cut would have virtually elimi- nated theDVBID program. BurdenofVector-Borne Diseases feverandchikungunyavirus,whichcould easily establish themselves within our ecosystems. The recent emergence of dengue in Texas (2005) and Florida (2009–2010) demonstrates our continuing vulnerability to such arboviral pathogens [21]. VBDs of major public health impor- tance include a wide variety of bacterial, parasitic, and viral infections that are spread by blood-feeding arthropods. In North America, prominent examples of VBDs include West Nile virus (WNV), Lymedisease,anddenguevirus(Table1). In the United States, the most common tick-borneinfectionisLymedisease,which results in extensive health care costs and productivity losses. In 2008 alone, there were35,198casesofLymediseasereport- edintheUS. Multi-FacetedRolesofthe DVBID The Vector-Borne Infectious Diseases program supports workonagentssuchas WNV, plague, tularemia, yellow fever, Lyme disease, dengue fever, Japanese encephaliti