1. Francophone Network for the elimination Neglected Tropical Diseases
J. Chandenier*, J. Jannin*, P. Solano, I. Quick, P. Debré
Haiphong, November 8-9, 2017
* :

2. Problem of neglected tropical diseases
(NTDs)
- late 20th century, global interest in major infectious diseases in tropical areas: malaria, HIV, tuberculosis
- 21th century, interest in diseases of the "epidemiological transition" in tropical zones: overload, cardiovascular pathologies, oncology, ...
- but, late 20th century and 21st century, persistence of NTDs

3. Characteristics of neglected tropical diseases
(NTDs)
- Affect the poorly visible and poorly audible populations
- Diseases traveling little or no outside the tropics (climate, vectors, ...)
- Often cause stigma and discrimination
- Have a significant impact on morbidity and mortality
- Are neglected by research
- But: could be controlled, prevented and possibly eliminated using existing solutions

4. Neglected Tropical Diseases (NTDs)
Diseases (updated April 2017):
Parasitic/fungal
- Chagas disease
- sleeping sickness
- dracunculiasis 
- lymphatic filariasis
- onchocerciasis
- echinococcosis
- foodborn trematodiasis
- schistosomiasis
- soil-transmitted helminthes 
- taeniasis/cysticercosis
- scabies
- mycetomas/chromomycosis
Bactériennes
- Buruli ulcer
- leprosy
- yaws
- trachoma
Virales
- dengue/chikungunya
- rabies
Other
- snakebite

5. - January 2012, roadmap for implementation
World Health Organization
28 November, 2018
Setting up of the reaction against the NTDs
- July 2005, creation of the Department of fight against Neglected Tropical Diseases
Dr Margaret Chan
- January 2012, roadmap for implementation
- London declaration 2013
: NTDs included in the Sustainable Development Goals (SDGs) 2030

6. Setting up of the French reaction
G7 Summit, Elmau, Germany, 2015
G7 Summit, Ise-Shima, Japan, 2016
> 250 registered so far:
- Institutions
- Individuals
- Associations
- NGO
- Learned Societies -…
Montpellier (France), april, 2016

7. Scientific and Strategic Council of the NTDFN
IRD
Philippe Solano
CIRAD
Pascal Bonnet
INSERM
Laurent Marsollier
PASTEUR INSTITUTE
Philippe Bastin
NGO
Serge Resnikoff (OPC)
Eric Pichard (Santé Sud)
South country
Crispin Lumbala
Félix Boa Yapo
Roch Dabiré
Mérieux Fondation
Sébastien Quesney
Training / learned societies
Jacques Chandenier
PARAFRAP
Frédéric Bringaud
DNDi
Nathalie Strub Wourgaft
SANOFI
François Bompart
Various
Jean Jannin
Robert Sebbag
 willingness to make changes in the overall policy and action strategies of each institution about NTDs
 global and concerted actions to put in place for the elimination of NTDs

8. Questions posed by the desire to eliminate NTDs
- How to adapt control strategies to each elimination context?
- What new tools can be developed to ensure and sustain elimination?
- How to answer all questions specific to elimination (access to care, biology, epidemiology, surveillance, ...)?
- How to sustain the results acquired in a context of very low prevalence?
- How to convince institutional and private donors to continue their efforts when many cases are decreasing?

9. Which strategy (s) for NTDs elimination
Reminder: NTDs = diseases
Individual…
Diagnosis
and/or biological
ou mass
Clinical …
(radiological)
Research …
Cartography
Medical treatments
- mass
- individual
… in all areas
Interventions
on the animal reservoir
Vector control
ELIMINATION

10. Which strategy (s) for NTDs training
Biological diagnosis
« Universal access to diagnosis of NTDs »
Les Pensières-Fondation Mérieux Annecy (France)
March 27-29, 2017
Objective: to develop a common vision of the problem of universal access to the diagnosis of NTDs for the poorest populations

11. Which strategy (s) for NTDs training
« Universal access to diagnosis of NTDs »
Les Pensières-Fondation Mérieux Annecy (France)
March 27-29, 2017
Conclusions :
- Universal access to diagnosis is an absolute condition for the success of neglected tropical disease elimination programs
- universal access to diagnosis is conceived from 4 major themes:
The 4 elements form a sequence. If an element is missing, access is no longer possible.

12. What strategy (s) for NTDs training
Reminder: NTDs = diseases
Individual…
Diagnosis
and/or biological
ou mass
Clinical …
(radiological)
training …
Cartography
Medical treatments
- mass
- individual
… multi-professional
Interventions
on the animal reservoir
Vector control
ELIMINATION

13. Which requirements for training in the context of NTDs?
- More targeted “NTDs" because current training too "general", too "diluted" in infectiology, and therefore often insufficient
- In all sectors of intervention concerned
(Medical / paramedical, research, technical, logistics, ...)
- In all types of training involved
(Academic and professionalizing, initial and continuous, central and peripheral level, ...)
- In a synchronized way
- Adapted to each local situation of NTDs
- Supported by a local political will
- Carried out by North and South stakeholders
- By relying on adapted innovative techniques / methods

14. To know more

15. To act more by 2030
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