Table of Contents
International Scholarly Research Notices
Volume 2014, Article ID 135243, 10 pages
http://dx.doi.org/10.1155/2014/135243
Review Article

Social Determinants of Infectious Diseases in South Asia

1School of Social Medicine and Health Management, Tongji Medical College, Wuhan, Hubei 430030, China
2Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada K1N 6N5
3Department of Public Administration, Huazhong University of Science and Technology, Wuhan, Hubei 430074, China

Received 19 June 2014; Revised 12 September 2014; Accepted 16 September 2014; Published 30 October 2014

Academic Editor: Delia Goletti

Copyright © 2014 Ghose Bishwajit et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

South Asian countries have developed infectious disease control programs such as routine immunization, vaccination, and the provision of essential drugs which are operating nationwide in cooperation with many local and foreign NGOs. Most South Asian countries have a relatively low prevalence of HIV/AIDS until now, but issues like poverty, food insecurity, illiteracy, poor sanitation, and social stigma around AIDS are widespread and are creating formidable challenges to prevention of further spread of this epidemic. Besides that, resurgence of tuberculosis along with the emergence of the drug resistant (MDR-TB and XDRTB) strains and the coepidemic of TB and HIV are posing ever-growing threats to the underdeveloped healthcare infrastructure. The countries are undergoing an epidemiological transition where the disease burden is gradually shifting to noncommunicable diseases, but the infectious diseases still account for almost half of the total disease burden. Despite this huge burden of infectious diseases in South Asia, which is second only to Africa, there is yet any study on the social determinants of infectious diseases in a local context. This paper examines various issues surrounding the social determinants of infectious diseases in South Asian countries with a special reference to HIV and tuberculosis. And, by doing so, it attempts to provide a framework for formulating more efficient prevention and intervention strategies for the future.