Letter to G7 Leaders To: Chancellor Angela Merkel, Federal Republic of Germany, President of the 2015 G7 Prime Minister Shinzō Abe, Japan Prime Minister David Cameron, United Kingdom Prime Minister Stephen Harper, Canada President François Hollande, Republic of France President Barack Obama, United States of America Prime Minister Matteo Renzi, Republic of Italy Cc: G7 Sherpas Your Excellencies, As organisations involved in Neglected Tropical Diseases (NTDs)1 including leprosy, we would like to applaud G7 leaders for putting global health, particularly neglected and poverty-related diseases, at the forefront of the G7’s development agenda at the G7 Summit this year. 1.9 billion people across Africa, Asia, Latin America and the Caribbean are exposed to infections that thrive in poverty-endemic communities that lack access to health services, adequate sanitation and clean water. These infections cause physical disability, blindness, and increased susceptibility to infection, as well as exposing people to social stigma and discrimination. Without timely and quality treatment, children face stunted growth, disability, cognitive delays and exclusion - posing a serious threat to their education and well-being. Not only do NTDs have a negative effect on the health and economic future of hundreds of individuals, they have a negative economic and social impact on entire nations. NTDs perpetuate the cycle of poverty. These diseases are inextricably linked to poor maternal, newborn and child health, poverty and inequality. They require a comprehensive and holistic solution. As the Sustainable Development Goals (SDGs) are finalised and the associated targets and indicators developed, the link between NTDs and poverty must be recognised. It has been suggested that NTDs should be used as a proxy indicator for poverty, to ensure that ‘no-one is left behind’. As stated by the WHO in ‘Investing to Overcome the Global Impact of Neglected Tropical Diseases: Third WHO Report on Neglected Tropical Diseases, 2015,’1 ‘NTD are a litmus test for Universal Health Coverage (UHC)’. Using NTDs as an indicator for UHC will ensure that the most marginalised are reached and ‘no-one is left behind’. Major pharmaceutical companies, which donated 2.5 billion treatments in 2012 and 2013, have established a superb track record of leadership in efforts to control and eliminate NTDs, and NGO and government partners are working to ensure these treatments reach the people who needed them. However, a $220 million global annual funding gap for treatment continues to stand in the way of reaching the WHO 2020 targets. In addition, new innovation is needed - with investment in 1 The World Health Organisation lists 17 neglected tropical diseases: Dengue, rabies, blinding trachoma, Buruli ulcer, endemic treponematoses (yaws), leprosy (Hansen disease), Chagas disease, human African trypanosomiasis (sleeping sickness), leishmaniasis, cysticercosis, dracunculiasis (guinea-worm disease), echinococcosis, foodborne trematode infections, lymphatic filariasis, onchocerciasis (river blindness), schistosomiasis (bilharziasis), soil-transmitted helminthiases (intestinal worms). The WHO recommends an integrated approach to overcoming the global impact of NTDs through five interventions: innovative and intensified disease management; preventive chemotherapy; vector ecology and management; veterinary public-health services; and the provision of safe water, sanitation and hygiene. Investing to Overcome the Global Impact of Neglected Tropical Diseases: Third WHO Report on neglected tropical diseases, 2015 research into new drugs, diagnostics, treatments and vaccines. We encourage G7 leaders to scale up investments now to ensure that programmes are able to reach all affected populations, while sustaining the progress made thus far. It also must be recognised that provision of drugs for the prevention and treatment is not the only issue that needs to be addressed in terms of NTDs. Hundreds of millions of people are already living with disabilities and discrimination caused by NTDs (including over 3 million disabled by leprosy), and require further treatment, rehabilitation and inclusion to ensure they access their right to health, education and employment. Investment is needed in raising awareness of these diseases to ensure early diagnosis and addressing the stigma caused by those such as leprosy and lymphatic filaraisis; improving rehabilitation services that address the medical, social and economic barriers to inclusion; as well as preventing further infection by investing in water, sanitation, and hygiene. We the undersigned call upon the G7 to: Use their influence in discussions on the SDGs to ensure that NTDs are included and ensure that NTDs are used as a key indicator for poverty and Universal Health Coverage Commit to securing the $220 million global annual funding gap for treatment and scale up programmes to enable the WHO 2020 targets to be reached Ensure that patient care and rehabilitation is not neglected in favour of disease prevention Invest in innovative approaches into new drugs, diagnostics, treatments and vaccines, as well as in multi-sectoral approaches which address the wider issues associated with NTDs, including health awareness, disability, stigma and discrimination, and access to education, employment and WASH. Bill Simmons President and CEO Mag. Matthias Wittrock Managing Director Huib Cornielje Executive director René Stäheli CEO José Manuel Amorós Muñoz CEO Tanya Wood CEO Sarah Nancollas Chief executive Ashim Chowla Chief Executive Mr. Mervyn F. Lobo CEO Jan van Berkel Director Tanvir Ahmed Chairman/Founder Dr. Vineeta Shanker Executive Director Professor Etsuko Kita Chair Michael Forbes Smith President Anthony Leung Chairman Salomon Sumon Halder Country Director Paulin Songolea Bakalania Country Leader Dr Sabuni Paluku Country Leader Klaus Leonhardt - CEO and Dr Jan Meyer – Chair Peter Walker National Director Marta Risko Country Leader Sunil Anand Director Arie de Kruijff Country leader Dr Zaw Moe Aung Country Director Henno Couprie Country Leader Shovakhar Kandel Country Leader Brent Morgan Executive Director Mr. Oluloto Olubunmi Country Leader Joanne Briggs National Director Bert van der Waal Country Leader Linda Todd CEO Dr. Yousif Deng Country Leader Allan Ekstedt Country Leader Markus Freudiger General Manager Geoff Warne General Director
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