Quantitative analyses and modelling to support achievement of the 2020 goals for nine neglected tropical diseases

Quantitative analysis and mathematical models are useful tools in informing strategies to control or eliminate disease. Currently, there is an urgent need to develop these tools to inform policy to achieve the 2020 goals for neglected tropical diseases (NTDs). In this paper we give an overview of a collection of novel model-based analyses which aim to address key questions on the dynamics of transmission and control of nine NTDs: Chagas disease, visceral leishmaniasis, human African trypanosomiasis, leprosy, soil-transmitted helminths, schistosomiasis, lymphatic filariasis, onchocerciasis and trachoma. Several common themes resonate throughout these analyses, including: the importance of epidemiological setting on the success of interventions; targeting groups who are at highest risk of infection or re-infection; and reaching populations who are not accessing interventions and may act as a reservoir for infection,. The results also highlight the challenge of maintaining elimination ‘as a public health problem’ when true elimination is not reached. The models elucidate the factors that may be contributing most to persistence of disease and discuss the requirements for eventually achieving true elimination, if that is possible. Overall this collection presents new analyses to inform current control initiatives. These papers form a base from which further development of the models and more rigorous validation against a variety of datasets can help to give more detailed advice. At the moment, the models’ predictions are being considered as the world prepares for a final push towards control or elimination of neglected tropical diseases by 2020

Quantitative analyses and modelling to support achievement of the 2020 goals for nine neglected tropical diseases

Quantitative analysis and mathematical models are useful tools in informing strategies to control or eliminate disease. Currently, there is an urgent need to develop these tools to inform policy to achieve the 2020 goals for neglected tropical diseases (NTDs). In this paper we give an overview of a collection of novel model-based analyses which aim to address key questions on the dynamics of transmission and control of nine NTDs: Chagas disease, visceral leishmaniasis, human African trypanosomiasis, leprosy, soil-transmitted helminths, schistosomiasis, lymphatic filariasis, onchocerciasis and trachoma. Several common themes resonate throughout these analyses, including: the importance of epidemiological setting on the success of interventions; targeting groups who are at highest risk of infection or re-infection; and reaching populations who are not accessing interventions and may act as a reservoir for infection,. The results also highlight the challenge of maintaining elimination 'as a public health problem' when true elimination is not reached. The models elucidate the factors that may be contributing most to persistence of disease and discuss the requirements for eventually achieving true elimination, if that is possible. Overall this collection presents new analyses to inform current control initiatives. These papers form a base from which further development of the models and more rigorous validation against a variety of datasets can help to give more detailed advice. At the moment, the models' predictions are being considered as the world prepares for a final push towards control or elimination of neglected tropical diseases by 2020

Realizing Recovery: the U.S. Substance Abuse and Mental Health Services Administration’s Efforts to Foster Social Inclusion

For nearly 20 years, the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) has fostered social inclusion for Americans with mental and/or substance use disorders. SAMHSA has done this by promoting the recovery paradigm, an approach predicated on a positive, strength-based, and person-centered view of those with behavioral health conditions. SAMHSA has provided leadership by promoting policies, programs, practices, and public awareness initiatives that advance recovery, recovery support services, and recovery-oriented service delivery systems. SAMHSA’s approach has been participatory, engaging a variety of stakeholders, and comprehensive, focusing on multiple strategies in targeted priority areas.Depuis presque 20 ans, the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) a favorisé l’inclusion sociale des États-uniens ayant des troubles de santé mentale ou de consommation de substances. SAMHSA a fait la promotion du paradigme du rétablissement, une approche positive et centrée sur la personne ayant des troubles de comportement et prenant en considération ses forces. SAMHSA s’est avéré un leader en la matière, fournissant des politiques, des programmes, des pratiques et des initiatives de sensibilisation du public facilitant le rétablissement, les services de soutien au rétablissement, et les systèmes de prestation de service liés au rétablissement. L’approche de SAMHSA est participative, engageant une série d’acteurs, et globale, se concentrant sur des stratégies multiples dans des domaines prioritaires

The polyphagous shot hole borer beetle: Current status of a perfect invader in South Africa

The polyphagous shot hole borer (PSHB) beetle is a recent invader in South Africa. Together with its fungal symbiont, Fusarium euwallaceae, it can rapidly kill highly susceptible host plants. Its impact is most profound in urban areas, but it has also been found infesting important forestry, agricultural crop and native species. Since its first detection in 2012, PSHB has spread to all but one province in the country. The beetle–fungus complex has several biological traits that enhance its anthropogenically mediated dispersal, establishment and survival in novel environments – factors that have likely facilitated its rapid spread across the country. We review the history of the PSHB invasion in South Africa, its taxonomic status and the reasons for its rapid spread. We highlight its potential impact and challenges for its management. Finally, we provide an updated distribution map and list of confirmed host plants in South Africa. Of the 130 plant species identified as hosts, 48 of these (19 indigenous and 29 introduced) are reproductive hosts able to maintain breeding PSHB populations. These reproductive hosts may succumb to beetle infestations and act as ‘pest-amplifiers’. The economic impact on urban forests, plantation forestry and agricultural crops may be severe, but the ecological impact of PSHB invasion in native ecosystems should not be underestimated.Significance: We provide an updated host list and distribution map for South Africa of the globally significant tree pest, the polyphagous shot hole borer (PSHB, Euwallacea fornicatus). The South African PSHB invasion represents the largest outbreak of this pest in its global invaded range. PSHB was confirmed to infest 130 plant species in urban, agricultural, and native ecosystems in South Africa, including 44 previously unreported hosts. Impact in South Africa is in its infancy but will likely be substantial to local economies and ecosystems. Mitigation has proven difficult, but numerous research projects have been initiated throughout the country