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Emerging Infectious Diseases
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To the Editor: The Editorial by Dr Fauci1 highlighted the importance of the control of infectious disease and advocated public health measures coordinated with biomedical research. While this recommendation is much welcomed, it does not address the mounting evidence that the effective technologies generated through such studies are not reaching many of those who need them most.2 A substantial proportion of this failure can be attributed to health delivery system constraints, a problem that has undergone fewer systematic assessments than have biomedical interventions.
Studies on uptake of effective interventions may generate the evidence needed for choosing appropriate strategies. Potential examples include studies of tuberculosis control,3 integrated tuberculosis-HIV/AIDS care in South Africa,4 and delivery of malaria drugs within national immunization campaigns or as a part of antenatal services.2
Effective infectious disease control requires rigorous evidence for strategies of intervention delivery. I would expand Dr Fauci’s recommendation: in defending humanity against the . . . [Full Text of this Article]
Yodi Mahendradhata, MD, MSc
ymahendradhata@itg.be
Department of Public Health
Institute of Tropical Medicine
Antwerp, Belgium
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