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closing the gap to stop neglected tropical diseases
Today, on World Water Day, the World Health Organization (WHO) announced its strategy on water, sanitation and hygiene as part of a joint effort by the water, sanitation and hygiene (WASH) and neglected tropical diseases (NTD) sectors to eradicate them. diseases over the next decade.
The ‘“Global Strategy on Water, Sanitation and Hygiene to Combat Neglected Tropical Diseases – 2021 – 2030.”‘complements the recently launched new NTD roadmap and aligns with sustainable development goals 6.1 and 6.2 related to drinking water and sanitation.
“Closer coordination and co-operation between the two sectors is crucial for the removal of NTDs” said Dr. Maria Neira, Director, WHO Department of Environment, Climate Change and Health. “Good hygiene and access to water and sanitation are important in the prevention, care and management of all 20 poverty diseases that massively affect the health of over a billion people.”
Increased collective action will require stronger political leadership and long-term, smart investments that recognize WASH as a fundamental pillar of public health. The goals of the strategy include:
- Raising awareness of the relationship between WASH and NTD and engaging nationally and globally
- Sharing data to highlight inequalities, target investments, and track progress
- Creating high quality evidence and incorporating it into guidelines and national strategies
- Joint planning, delivery and evaluation of programs to improve accountability, sustainability and equity.
“This strategy prioritizes quality research and evidence-based data for decision-making and facilitates the joint implementation of NTD programs to save lives and improve lives”Said Dr. Mwelecele Ntuli Malecela, Director of the WHO’s Department of Neglected Tropical Diseases Control. “It will guide the scale of basic WASH and health services and contribute to the goal of the NTD plan to provide 100% access to basic water, sanitation and hygiene in areas endemic to NTDs. “.
Without clean water and soap, it is difficult to carry out simple and effective public health actions that can prevent and manage debilitating NTDs: washing the face due to trachoma, a disease that leads to painful, irreversible blindness; limb washing for lymphatic filariasis, in which worms attack the lymphatic system and cause severe edema, especially of the legs; washing rabies wounds, where thorough cleaning of the lesion after a dog bite can reduce the chances of being infected with the dog saliva virus; and hand washing for intestinal worms whose eggs are ingested with food improperly manipulated and contaminated with soil.
Large inequalities in access to WASH remain: at least 2 billion people rely on an unsafe water supply; 673 million practice open defecation, and an estimated 3 billion people do not have access to basic hand washing devices1 practice personal hygiene.
The need for a joint WASH / NTD initiative to integrate the relatively unrelated activities of these two important sectors became apparent after the publication of the first NTD roadmap in 2012. This led to the publication of the first strategy and action plan in 2015.2 which provided a framework for collaboration and joint planning, delivery, and evaluation of the program.
Currently, several countries plan to establish new coordination systems and seek to increase the availability and quality of data on WASH and NTDs, to ensure that WASH services are targeted at the communities that need them most.
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