第3084期:How to treat tuberculosis, malaria, and AIDS?

Sibongile Zulu is among the 7.7 million south Africans who are HIV positive.西邦吉莱·祖鲁是770万感染艾滋病毒的南非人中的一员。She takes a cocktail of antiretroviral drugs to suppress the virus.她服用了一组抗逆转录病毒药物来抑制病毒。When south Africa imposed a coronavirus lockdown in March, Zulu lost her job.当南非在3月份实施新冠疫情封锁措施时，祖鲁失去了工作。Weeks later her local clinic began to run short of some medication.几周后，当地的诊所开始出现药物短缺。I think for two months, I was using only one that I was supposed to use two. And if I don't use both of them, it's a big risk and I can get sick.我想有两个月的时间，我只服用了一种药物，而我应该服用两种。如果我不同时服用两种药物，风险很大，我可能会生病。Across the world doctors say the coronavirus pandemic and the subsequent lockdowns will likely hamper the fight against other killer diseases like tuberculosis or TB, malaria and HIV.世界各地的医生表示，新冠疫情大流行以及随后实施的封锁措施可能会阻碍对抗结核病、疟疾和艾滋病等其他致命疾病的斗争。Epidemiologist Dr Salim S. Abdool Karim advises the south African government on the coronavirus and has led research into other infectious diseases in Africa.流行病学家萨利姆·阿卜杜尔·卡里姆博士就新冠疫情为南非政府提供建议，并领导了非洲其他传染病的研究。People are scared to go to healthcare services. We have seen a decline in the number of tests for tuberculosis.人们害怕去医疗服务机构。我们看到结核病检测数量有所下降。We've seen a decline in the number of patients coming in to get their medications.我们已经看到前来取药的患者数量有所下降。So that's of deep concern because it could undo the years of work that it has taken us to get to this point.这让人深感担忧，因为这可能会让我们多年来为达到目前这一阶段所付出的努力付诸东流。TB cases and deaths have fallen year on year in south Africa and many other countries.南非和许多其他国家的结核病病例和死亡人数同比下降。But it remains one of the world's biggest killers with an estimated 1.5 million deaths last year.但它仍是世界上最致命的疾病之一，去年估计有150万人因此丧生。We know there's 50% decrease in TB testing in south Africa at the moment.我们知道，目前南非的结核病检测量下降了50%。So people are not able to go to the clinic or go to hospitals and so on.人们无法前往诊所或医院等等。And they're not being diagnosed with TB, and this means that they can then transmit TB further to other people. So it's just going to sort of snowball.他们没有被诊断出患有结核病，这意味着他们随后可能会将结核病进一步传染给其他人。情况就会像滚雪球一样越来越糟。Malaria deaths in Africa could double in 2020 warn researchers from Imperial College London, unless disrupted services such as mosquito net distribution and malaria treatments are maintained.伦敦帝国理工学院的研究人员警告称，除非蚊帐分发和疟疾治疗等中断的服务得以维持，否则2020年非洲的疟疾死亡人数可能会翻倍。Despite thedireforecasts, Karim says there is opportunity.尽管预测情况严峻，但卡里姆表示仍存在机遇。The opportunity to look at integration, integration between covid, HIV, TB and other conditions.这个机遇在于审视整合，即新冠、艾滋病、结核病和其他疾病之间的整合。So that when we are investing for our coronavirus vigilance, we are benefiting not just the covid epidemic, but the epidemics of HIV and TB as well.当我们为应对新冠病毒保持警惕而投入资源时，受益的不仅是新冠疫情防控，还有艾滋病和结核病的防控。The global community must look at the bigger picture, says McQuaid.麦奎德说，国际社会必须着眼大局。We start to lose gains that we've been making in recent years, hard-fought gains that we've made.我们开始失去近年来取得的成果，那些我们经过艰苦努力才取得的成果。And we could be pushed back five, ten, twenty years even.我们的成果甚至会倒退五年、十年、二十年。Huge resources have been dedicated to the fight against the coronavirus.大量资源被用于抗击冠状病毒。Doctors say it's vital that other deadly diseases are not neglected.医生表示，至关重要的是不能忽视其他致命疾病。