This material was first published by Science Progress.
We now know that one of the key reasons the “bottom billion,” the 1.4 billion people living on less than $1.25 per day, remain trapped in perpetual poverty is because they are infected with a group of chronic, debilitating, and mostly parasitic infections known asneglected tropical diseases, or NTDs. The NTD elephantiasis disfigures the limbs and genitals of more than 100 million adults living in Africa, Haiti, and South Asia, where this incapacitating disease prevents people from working. India loses almost $1 billion annually as a result of the disease. The situation is similar for river blindness, an NTD found mostly in sub-Saharan Africa, and chronic hookworm infection, a disease that affects 600 million people worldwide, causing severe growth and development delays in children that can reduce future wage earnings by 40 percent.
For the last three years, I have used a global public health lens to discover the hidden burden of neglected infections of poverty in the United States, which closely resemble the impact of NTDs in the world’s poorest countries. These neglected infections are not rare. They represent some of the most prevalent diseases among the 40 million Americans who live in poverty.
There are a number of powerful social and economic forces preventing millions of people from realizing the American dream. These neglected infections may signify another equally potent poverty trap for our nation’s bottom 40 million.
Indeed, America’s neglected infections of poverty may be the most important diseases you have never heard of—diseases of high prevalence that occur largely among the poorest people, especially people of color, who live in areas of the country that are largely forgotten and seldom visited.
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