asymmetries of poverty why global burden of disease valuations underestimate the burden of neglected tropical diseases不对称的贫困为什么全球疾病负担估值低估被忽视的热带疾病的负担.pdfVIP

Review Asymmetries of Poverty: Why Global Burden of Disease Valuations Underestimate the Burden of Neglected Tropical Diseases Charles H. King*, Anne-Marie Bertino Center for Global Health and Diseases, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States of America Why are the NTDs ‘‘neglected’’ diseases? The question stems in Abstract: The disability-adjusted life year (DALY) initially large part from the use of the DALY (Box 2) as a health metric in appeared attractive as a health metric in the Global policy planning, and the inadequate job done by the ongoing GBD Burden of Disease (GBD) program, as it purports to be a programs in capturing the health and economic burden caused by comprehensive health assessment that encompassed NTDs in less-developed countries. premature mortality, morbidity, impairment, and disabil- ity. It was originally thought that the DALY would be useful in policy settings, reflecting normative valuations as Brief History a standardized unit of ill health. However, the design of The heart of the GBD assessments, which were developed in the the DALY and its use in policy estimates contain inherent 1980s and early 1990s as a health-sector priorities collaboration flaws that result in systematic undervaluation of the between the WHO and the World Bank [3,6], was the use of a new importance of chronic diseases, such as many of the