
pmid: 22457080
In the work, and in the comments on the work of Nicoll and Sprenger [1], Keil [2] recalled that, in addition to diseases considered as transmissible diseases (which are still the cause of 1/3 of direct deaths), it is imperative to focus attention on non transmissible diseases [3]. What I find amazing, including in the authors’ response [4], is to continue to call non transmissible diseases or non communicable diseases, the chronic diseases, (including cancer and cirrhosis), which are undoubtedly caused by transmissible agents. It is surprising that despite the recent Nobel Prize to B. J. Marshall and J.R. Warren for the discovery of Helicobacter pylori, which is undoubtedly the major agent of gastric cancer, Von Hausen for his discovery of Human Papillomavirus which is the agent of cervical uterus cancer, anal cancers and part of throat cancers, whereas liver cancers are almost always caused by hepatitis B or hepatitis C viruses, and that Kaposi’s sarcoma, that is so common in Africa, is caused by HHV8 [3]. As much of 25% of lymphoma are associated with Epstein Barr virus (EBV), as well as the Burkitt’s B-cell lymphoma and nasopharyngeal carcinoma. Burkitt’s lymphoma (BL) is a malignant form of tumor associated with EBV that is endemic to central parts of Africa and New Guinea. Moreover, most of liver cirrhosis are associated to hepatitis viruses. Indeed it is hardly understandable that these are called ‘‘non transmissible’’ or ‘‘non communicable’’. Instead, based on what Ulrich Keil said, it appears likely that the best prevention of these cancers (which represent between 15% and 40% of total cancer cases by region) [2] will be obtained the vaccination, provided that the benefits and costs of such vaccine should be studied in a reasonable manner and presented in an acceptable manner to the population. Anyway, it’s time, including the best vehicles of the information like The Lancet [5], Science [6], WHO ( http://www.who.int/topics/chronic_diseases/en/ and the ECDC (http://repositorio.insa.pt/bitstream/10400.18/281/1/ National%20Public%20Health%20Institutes.European%20 perspective.pdf) should abandon the term of non-transmissible diseases for diseases that are related to an infection transmitted through sexual contact, saliva, or by injection.
Influenza A Virus, H1N1 Subtype, Influenza, Human, Humans, Pandemics
Influenza A Virus, H1N1 Subtype, Influenza, Human, Humans, Pandemics
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