Expert Rev Neurother. 2012 Jun;12(6):661-6.
Dotchin C, Walker R.
Source
Northumbria
Healthcare NHS Foundation Trust, Department of Elderly Medicine, North
Tyneside General Hospital, Rake Lane, North Shields, NE29 8NH, UK.
Abstract
The
vast majority of patients with Parkinson's disease (PD) in sub-Saharan
Africa are undiagnosed and untreated with impaired quality of life and
markedly increased mortality rates. PD is a progressive
neurodegenerative disorder that becomes increasingly common as people
age. Diagnosis remains predominantly clinical based on motor symptoms:
tremor, rigidity, bradykinesia and postural instability. In developed
countries, it is well recognized and very few patients will not be
diagnosed and treated. However, in developing countries, such as those
in sub-Saharan Africa, evidence suggests that most patients are
undiagnosed, and even if they are diagnosed, they do not have access to
sustainable, affordable, drug treatment and medical supervision. There
is a lack of awareness, both within the general population and also
among healthcare professionals, and many patients seek help from
traditional healers. Even if they are diagnosed, treatment is often too
expensive, and supplies are sporadic. There is a great need to increase
awareness of PD within the general population and the fact that the
symptoms are treatable. Education of healthcare workers about PD is
also important, but a major challenge is there are few doctors and even
fewer neurologists. Awareness raising and training will be to no avail,
unless the problem of an affordable, reliable supply of drug treatment
can be tackled.
No comments:
Post a Comment