In India’s case, the first and most important challenge will be to continue good surveillance to determine whether these diseases remain in previously endemic areas, and to continue advocacy to ensure that political commitment remains strong and that these diseases continue to be granted the importance they deserve within the context of national health strategies.
Lack of resources: In global terms, the resources required are not so substantial, but in the poorest areas of some of the poorest countries of the region, finding adequate resources is an enormous challenge.
Population, poverty & malnutrition: India’s massive population, widespread poverty and malnutrition still present challenges in controlling neglected diseases.
Lack of knowledge: Another major challenge is diagnostics. Many common NTDs lack rapid tests that can be done at the primary care. For example, there is a clear need for sensitive rapid diagnostic tests for schistosomiasis.
Gaps in treatment: There are also gaps in treatment. For example, India has the potential to eradicate Guinea worm, spread by contaminated water – yet this disease has never had a diagnostic, vaccine or medical solution. Onchocerciasis(also called river blindness), on the other hand, is treatable. Yet it can take years to cure people of this blinding disease, years of unnecessary suffering and disability.
Global climate change: Global climate change is causing new challenges in addressing and combating neglected tropical diseases throughout the world.
Lack of R&D: Stagnant resources limit our chances to fill critical gaps in NTD Research & Development.
Other factors: They are also increasing because of war, and political instability, and are now widespread wherever human populations are under threat.