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A combination of population growth, public health failures,
environmental degradation and rapid global transportation has
resulted in a world that is at increasing risk to vectorborne and
other infectious diseases. A large percentage of emerging diseases
are vectorborne and over one-third of the agents on the list of
greatest concern from bioterrorism are vectorborne. Many of these
diseases are viral that have no effective drug or vaccine
treatments. Drug and insecticide resistance is now common and has
greatly compromised our ability to provide effective and affordable
control. Parasitic diseases, including malaria, leishmmaniasis and
African trypanosomiasis are likewise increasing in many parts of
the world. Control programs for onchocerciasis and to some extent
filariasis are reducing the impact of these diseases, largely due
to the availability of filaricides such as ivermectin. Chagas
disease has also declined significantly through home improvements
and indoor insecticide application against the domicilary kissing
bug vectors.
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