Eliminating Existing Epidemics: Investing in neglected tropical diseases strengthens our ability to fight global pandemics

On International Day of Epidemic Preparedness, Executive Director of Uniting to Combat Neglected Tropical Diseases Thoko Elphick-Pooley outlines why it is crucial we not only tackle existing epidemics but also prepare for future ones. Banner: Uniting to Combat Neglected Tropical Diseases
Eliminating Existing Epidemics: Investing in neglected tropical diseases strengthens our ability to fight global pandemics
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Building a resilient recovery: Emerging stronger from the COVID-19 pandemic



It has now been nearly three years since the World Health Organization (WHO) first declared the COVID-19 pandemic. Since then, the question of how to build better defence systems against infectious diseases has become a priority issue for us all. But effective pandemic preparedness means more than just anticipating and planning for the next explosive global health threat. It also means doing a better job of tackling existing ones.

Take neglected tropical diseases (NTDs), for example. NTDs are a group of 20 infectious diseases and conditions that affect more than 1.7 billion people worldwide, and include trachoma, leprosy, intestinal worms, Guinea worm disease and elephantiasis. They are devastating existing epidemics that debilitate, disfigure and can be fatal. NTDs affect some of the most vulnerable people in the world.

Investments in NTDs have been a global success story to date, with 47 countries having eliminated at least one NTD and 600 million people no longer requiring treatment for them. 

COVID-19 has shown us that our investments in fighting NTDs not only improve the quality of life of millions of people, they also can have an incredible impact on boosting global health security. Investments against these diseases have helped build robust community health systems that have been effectively leveraged to fight COVID-19, as well as other health threats like Ebola. Indeed, trusted community health workers and platforms developed over the years to track, prevent, diagnose and treat NTDs were essential to help fight COVID-19. NTD programmes also train local drug distributors and frontline health workers, bringing healthcare to some of the most remote parts of the world and playing a crucial role during disease outbreaks. They conduct and report on novel disease surveillance and encourage referrals to local health facilities, ensuring broader and more equitable access to services. They catalyse lasting transformation in health systems that is critical to maintaining healthy communities and to preventing future pandemics.

What’s more, investments in NTDs have been a global success story to date, with 47 countries having eliminated at least one NTD and 600 million people no longer requiring treatment for them. This shows that it is possible to reach some of the world’s poorest and most remote communities through creative, low-cost programmes.

"Investments in NTDs have been a global success story to date, with 47 countries having eliminated at least one NTD and 600 million people no longer requiring treatment for them".

Photo: Uniting to Combat Neglected Tropical Diseases

Yet, despite these incredible impacts, NTD programmes are facing critical funding gaps that threaten to derail progress to date. COVID-19 has had devastating and costly consequences on NTD programmes, including causing severe disruptions and delays to the provision of care. African communities in particular are facing a heavy burden: the pandemic has had a devastating impact on health services, and cuts to NTD treatments will make them more vulnerable to tropical diseases. This increases the risk of disease resurgence, undermining efforts to improve global health security.

Investing in fighting epidemics like NTDs leads to stronger health systems and workforces that are better equipped to detect and respond to both existing epidemics and new global health threats.

The case for increased action on existing epidemics is clear. Global health emergencies like COVID-19 are not inevitable. They are a consequence of systemic underinvestment in global health, a lack of surveillance systems capable of detecting disease outbreaks, poor global data sharing protocols, and weak health systems compounded by inadequate pandemic preparedness.

More on the Forum Network: OECD leaders have the ability to end the worst of COVID-19—and a responsibility to reform the weak and outdated system meant to prevent the next pandemic by Helen Clark, Former Prime Minister, New Zealand
More on the Forum Network: OECD leaders have the ability to end the worst of COVID-19—and a responsibility to reform the weak and outdated system meant to prevent the next pandemic by Helen Clark, Former Prime Minister, New Zealand
OECD leaders have an opportunity to end this pandemic and prevent the next one—and provide future generations with a strong example of how multilateralism can work. They can lead transformative change rather than merely tinker around the edges.

Investing in fighting epidemics like NTDs leads to stronger health systems and workforces that are better equipped to detect and respond to both existing epidemics and new global health threats. It is in the interest of all countries to support these efforts. Only with strong systems throughout the world will we be able to prepare for and effectively tackle future outbreaks of deadly infections. Decreasing our efforts against these diseases would result in a large-scale resurgence of infections that would be even more costly to address—and with potentially disastrous consequences. 

That is why we are urging governments, academia, civil society and businesses to prioritise existing epidemics like NTDs, and endorse the Kigali Declaration on Neglected Tropical Diseases, a high-level political declaration to mobilise and secure commitments against NTDs. Developed with extensive input from stakeholders around the world, the Declaration is mobilising the political will, community engagement, resources and action needed to stop suffering caused by these diseases. We have seen incredible leadership so far: 67 groups have endorsed the Kigali Declaration to date. We welcome leaders to join them and be 100% committed to ending NTDs. We can build a safer, healthier future together by investing in fighting existing epidemics today.








Read also the OECD's Case Studies on Leaving No One Behind (A companion volume to the OECD Development Co‑operation Report 2018), including a chapter on Reinventing donor co-ordination to beat neglected tropical diseases

Read the OECD's Case Studies on Leaving No One Behind (A companion volume to the OECD Development Co‑operation Report 2018), including a chapter on Reinventing donor co-ordination to beat neglected tropical diseases

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