Idro Richard, Newton Charles, Kiguli Sarah, Kakooza-Mwesige Angelina
Department of Paediatrics and Child Health, Mulago Hospital/College of Health Sciences, Makerere University, Kampala, Uganda.
J Child Neurol. 2010 Apr;25(4):518-24. doi: 10.1177/0883073809357792. Epub 2010 Feb 5.
Neurological disorders, including neurodevelopmental disorders, have been identified by the World Health Organization (WHO) as one of the greatest threats to global public health. It is generally believed that these conditions are more prevalent in the developing than the developed world because of multiple known risk factors such as infections, malnutrition, and limited resources for obstetric and neonatal management. In East Africa, few investigations have been conducted to obtain data on the magnitude and description of neurological disorders among children, and the practice of child neurology is faced with challenges cutting across areas of health personnel, patient diagnosis, management, and rehabilitation. This article reviews the burden, types, and causes of neurological disorders in the East African region. The challenges and successes in the practice of child neurology and recommendations for the future are discussed.
包括神经发育障碍在内的神经系统疾病已被世界卫生组织(WHO)确定为全球公共卫生面临的最大威胁之一。人们普遍认为,由于感染、营养不良以及产科和新生儿管理资源有限等多种已知风险因素,这些疾病在发展中世界比发达世界更为普遍。在东非,很少有调查来获取有关儿童神经系统疾病的规模和描述的数据,儿童神经病学的实践面临着跨越卫生人员、患者诊断、管理和康复等领域的挑战。本文综述了东非地区神经系统疾病的负担、类型和病因。讨论了儿童神经病学实践中的挑战与成功以及对未来的建议。