The rise of neglected tropical diseases in the "new Texas"

Within the last five years, the State of Texas has experienced either transmission or outbreaks of Ebola, chikungunya, West Nile, and Zika virus infections. Autochthonous transmission of neglected parasitic and bacterial diseases has also become increasingly reported. The rise of such emerging and n...

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Bibliographic Details
Published in:PLoS neglected tropical diseases 2018-01, Vol.12 (1), p.e0005581-e0005581
Main Author: Hotez, Peter J
Format: Article
Language:English
Subjects:
Arbovirus diseases
Bacterial diseases
Bacterial infections
Biology and life sciences
Census of Population
Chagas disease
Chikungunya virus
Climate change
Disease control
Disease transmission
Diseases
Evolution
Forces (mechanics)
Health services
Hemorrhagic fevers
Immigration
Infections
Infectious diseases
Leishmaniasis
Marble
Medicine and Health Sciences
Migration
Outbreaks
Parasitic diseases
People and places
Poverty
Public health
Rabies
Review
Rickettsiosis
Surveillance
Syphilis
Toxocariasis
Transmission
Transport
Transportation
Trichomoniasis
Tropical climate
Tropical diseases
Typhus
Urban areas
Urbanization
Vaccination
Vaccines
Vector-borne diseases
Vectors (Biology)
Viral diseases
Viroses
Viruses
Zika virus
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Description
Summary:Within the last five years, the State of Texas has experienced either transmission or outbreaks of Ebola, chikungunya, West Nile, and Zika virus infections. Autochthonous transmission of neglected parasitic and bacterial diseases has also become increasingly reported. The rise of such emerging and neglected tropical diseases (NTDs) has not occurred by accident but instead reflects rapidly evolving changes and shifts in a "new" Texas beset by modern and globalizing forces that include rapid expansions in population together with urbanization and human migrations, altered transportation patterns, climate change, steeply declining vaccination rates, and a new paradigm of poverty known as "blue marble health." Summarized here are the major NTDs now affecting Texas. In addition to the vector-borne viral diseases highlighted above, there also is a high level of parasitic infections, including Chagas disease, trichomoniasis, and possibly leishmaniasis and toxocariasis, as well as typhus-group rickettsiosis, a vector-borne bacterial infection. I also highlight some of the key shifts in emerging and neglected disease patterns, partly due to an altered and evolving economic and ecological landscape in the new Texas, and provide some preliminary disease burden estimates for the major prevalent and incident NTDs.
ISSN:1935-2735
1935-2727
1935-2735
DOI:10.1371/journal.pntd.0005581