The Burden of Chronic Disease

The Burden of Chronic Disease - The Burden of Chronic...

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DOI: 10.1126/science.1092488 , 1921 (2003); 302 Science et al. C. G. Nicholas Mascie-Taylor, The Burden of Chronic Disease www.sciencemag.org (this information is current as of September 4, 2009 ): The following resources related to this article are available online at http://www.sciencemag.org/cgi/content/full/302/5652/1921 version of this article at: including high-resolution figures, can be found in the online Updated information and services, http://www.sciencemag.org/cgi/content/full/302/5652/1921/DC1 can be found at: Supporting Online Material found at: can be related to this article A list of selected additional articles on the Science Web sites http://www.sciencemag.org/cgi/content/full/302/5652/1921#related-content 29 article(s) on the ISI Web of Science. cited by This article has been http://www.sciencemag.org/cgi/content/full/302/5652/1921#otherarticles 6 articles hosted by HighWire Press; see: cited by This article has been http://www.sciencemag.org/cgi/collection/sci_policy Science and Policy : subject collections This article appears in the following http://www.sciencemag.org/about/permissions.dtl in whole or in part can be found at: this article permission to reproduce of this article or about obtaining reprints Information about obtaining registered trademark of AAAS. is a Science 2003 by the American Association for the Advancement of Science; all rights reserved. The title Copyright American Association for the Advancement of Science, 1200 New York Avenue NW, Washington, DC 20005. (print ISSN 0036-8075; online ISSN 1095-9203) is published weekly, except the last week in December, by the Science on September 4, 2009 www.sciencemag.org Downloaded from
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VIEWPOINT The Burden of Chronic Disease C. G. Nicholas Mascie-Taylor 1 * and Enamul Karim 2 The shift from acute infectious and deFciency diseases to chronic noncommuni- cable diseases is not a simple transition but a complex and dynamic epidemio- logical process, with some diseases disappearing and others appearing or re- emerging. The unabated pandemic of childhood and adulthood obesity and concomitant comorbidities are affecting both rich and poor nations, while infectious diseases remain an important public health problem, particularly in developing countries. More attention should be given to the high burden of disease associated with soil-transmitted helminths and schistosomiasis, which until recently was not considered a priority even though regular drug treatment is obtainable at relatively little cost. In developing countries, the pressing requirement is to provide an accessible and good quality health-care system, whereas industrialized countries have a major need for greater public health education and the promotion of healthy life-styles. The burden of disease and injury attribut-
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The Burden of Chronic Disease - The Burden of Chronic...

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