Editorial The Neglected Diseases Section in PLoS Medicine: Moving Beyond Tropical Infections The PLoS Medicine Editors

ince our launch in October 2004, integrating the control of NTDs in “Strategic and technical meeting on PLoS Medicine has published Africa by scaling up a “rapid-impact intensified control of neglected tropical Sa policy and review section package” of four antimicrobial drugs diseases” in Berlin in April 2005 [10], dedicated to neglected diseases. that have synergistic actions on which led to the WHO’s Department Its focus has been on the chronic multiple diseases [4]. This package, of Neglected Tropical Diseases giving tropical infections, mostly parasitic argued the authors, could tackle seven the proposal its formal support. The and bacterial, that burden the world’s NTDs (schistosomiasis, trachoma, momentum continued to build— poorest people and that are also a lymphatic filariasis, onchocerciasis, several global leaders in NTDs agreed major cause of global poverty. The hookworm, trichuriasis, and ascariasis) to serve on the journal’s editorial many ways in which these diseases have at an annual cost of only about board, and the Bill & Melinda Gates been sidelined are well documented $US0.40 per person. The authors’ Foundation awarded PLoS a $US1.1 [1], and our main aim for the section follow-up article discussed the many million grant to cover the journal’s was to help to place these conditions in opportunities for integrating NTD launch phase. the limelight. So what has the section control with that of the “big three” PLoS Neglected Tropical Diseases— achieved, and where is it heading diseases: HIV, malaria, and tuberculosis which publishes research, commentary, next, particularly now that PLoS has [5]. analysis, and reviews on the pathology, launched a journal dedicated to the The first of these two articles led epidemiology, treatment, control, and neglected tropical diseases (NTDs; to a United Kingdom parliamentary prevention of the NTDs—launched http://www.plosntds.org/)? question, by Member of Parliament at the end of October 2007. Its arrival The 21 articles published to Nicholas Soames, about the UK’s was heralded in the New York Times date give a broad-ranging overview funding of parasitic diseases [6], while (November 6, 2007) with the headline of the landscape of NTDs. Each the second helped make the case for a “Shining Light on Diseases Often in article focused either on the global United Nations mandate to incorporate the Shadows” [11], while an editorial campaign to tackle a specific disease, NTD control into its campaign to roll in about the new journal such as trachoma or Buruli ulcer, or back malaria [7]. Both papers laid the praised the “investment in scaling on a new strategy for approaching foundation for the creation of a new up communication about global neglected diseases in general, global nonprofit organization, the health” [12]. The journal publishes including innovative ways of designing, Global Network for Neglected Tropical the broadest range of NTDs research developing, and funding antiparasitic Disease Control (GNNTDC, http:// in a single open-access venue, while drugs (see Text S1). gnntdc.sabin.org/). And the idea of its Magazine section advocates for Many of these articles have integrated control, laid out in the those who suffer from the plight of challenged the widespread sense two papers, has gained traction in the these tropical infections. Built upon of hopelessness surrounding the donor community—the United States an online publishing platform called NTDs. Mary Moran’s analysis [2], for Agency for International Development, Topaz (see http://www.plos.org/cms/ example, found that 63 neglected- for example, awarded a $US100 million node/36/), the journal takes advantage disease drug projects were under way grant to RTI International to scale up of the latest “Web 2.0” tools from at the end of 2004, three-quarters integrated control of NTDs in Africa of which are being conducted by [8], while Geneva Global Inc. awarded Citation: The PLoS Medicine Editors (2008) The public–private partnerships, often the GNNTDC US$8.9 million to deliver neglected diseases section in PLoS Medicine: Moving involving multinational or small-scale the “rapid-impact package” in Rwanda beyond tropical infections. PLoS Med 5(2): e59. pharmaceutical firms. As we have and Burundi [9]. doi:10.1371/journal.pmed.0050059 written before, we are witnessing “a PLoS Medicine’s Neglected Diseases Copyright: © 2008 The PLoS Medicine Editors. This new era of hope for the world’s most section was also the catalyst for the is an open-access article distributed under the terms of the Creative Commons Attribution License, neglected diseases” [3]. launch of the world’s first open-access which permits unrestricted use, distribution, and The Neglected Diseases section journal specifically devoted to the reproduction in any medium, provided the original has arguably had an impact upon NTDs. In 2005, the section caught the author and source are credited. the wider community, attention of Professor Peter Hotez Abbreviations: GNNTDC, Global Network for for example among policy makers at George Washington University Neglected Control; NTD, neglected and funding agencies. Two articles and the Sabin Vaccine Institute, who tropical disease; WHO, World Health Organization in particular stand out for their proposed to PLoS that we launch E-mail: medicine_editors@.org international influence. The first, by PLoS Neglected Tropical Diseases. One The PLoS Medicine Editors are , David Molyneux, Peter Hotez, and of us (GY) presented the idea at the Jocalyn Clark, Larry Peiperl, Emma Veitch, and Gavin Alan Fenwick, presented the case for World Health Organization’s (WHO’s) Yamey.

PLoS Medicine | www.plosmedicine.org 0167 February 2008 | Volume 5 | Issue 2 | e59 PLoS, including readers’ annotations, www.plosone.org/) publishes any 4. Molyneux DH, Hotez PJ, Fenwick A (2005) “Rapid-impact interventions”: How a policy discussion threads, and article rankings. study in science and medicine that is of integrated control for Africa’s neglected Its editorial board is well represented technically, scientifically, and ethically tropical diseases could benefit the poor. by developing-world scientists (http:// sound, subject to peer review, so there PLoS Med 2: e336. doi:10.1371/journal. pmed.0020336 www.plosntds.org/static/edboard. is now a home at PLoS for all original 5. Hotez PJ, Molyneux DH, Fenwick A, Ottesen action). biomedical research. Indeed PLoS ONE E, Ehrlich Sachs S, et al. (2006) Incorporating The arrival of PLoS’ latest journal has already published research based a rapid-impact package for neglected tropical diseases with programs for HIV/AIDS, means that it now makes little sense for on demographic health surveys, such tuberculosis, and malaria. PLoS Med 3: e102. the PLoS Medicine Neglected Diseases as a study that used the 1998 South doi:10.1371/journal.pmed.0030102 6. United Kingdom Parliament (2005) House section to focus on the NTDs. This African Demographic and Health of Commons Hansard written answers for 18 month’s article, examining the WHO Survey to examine the association October 2005 (pt 14). Available: http://www. strategy to eliminate human African between measures of socioeconomic publications.parliament.uk/pa/cm200506/ cmhansrd/vo051018/text/51018w14. trypanosomiasis, therefore marks the position and violence at the individual htm#51018w14.html_wqn5. Accessed 28 last time that this section will feature and household levels [15]. January 2008. a tropical infection [13]. Instead, the As PLoS continues to evolve, we 7. The Quick Impact Initiative on Malaria and Neglected Tropical Diseases (2005) section will focus on other health plan to create “hubs” of linked open- Introduction. Available: http://www. problems that could be considered access content from across the PLoS earthinstitute.columbia.edu/malaria-ntd/. Accessed 28 January 2008. neglected and that have a significant journals to help serve specific research 8. RTI International (2006) RTI International global burden. We will ask authors to communities (see http://www.plos. joins effort to reduce impact of neglected justify in their article, with supporting org/about/faq.html#ploshubs); our tropical diseases in developing nations. Available: http://www.rti.org/page.cfm? evidence, why they consider the first such hub is the PLoS Hub for nav=368&objectid=314270A7-48FD-492C- problem to be neglected, to outline the Clinical Trials at http://clinicaltrials. B3D363456BBD2E86. Accessed 28 January 2008. scale of the problem worldwide, and to ploshubs.org/. We hope that these 9. Sabin Vaccine Institute (2007) Geneva Global Inc. awards $8.9 million grant to Global discuss possible policies and solutions innovative new ways of presenting Network for Neglected Tropical Disease for reducing the burden of disease. scientific research, from all corners Control. Available: http://sabin.org/news/ Examples might include reproductive of the globe and on topics that article.html?aid=22. Accessed 28 January 2008. 10. World Health Organization (2005) Strategic and maternal health problems, mental have traditionally been sidelined by and technical meeting on intensified control of illness in low- and middle-income subscription-based journals, will help neglected tropical diseases. Available: http:// whqlibdoc.who.int/hq/2006/WHO_CDS_ countries, road traffic injuries, and take the “neglected” out of the term NTD_2006.1_eng.pdf. Accessed 28 January health problems related to migration “neglected diseases.” 2008. and conflict. Authors should always send 11. McNeil DG Jr. (2007 November 6) a pre-submission inquiry via our online Supporting Information Shining light on diseases often in the Text S1. shadows. Available: http://www.nytimes. journal management system (http:// Articles published in the com/2007/11/06/health/research/06negl. Neglected Diseases section from October medicine.plosjms.org/cgi-bin/main. html. Accessed 28 January 2008. 2004–February 2008, focusing on tropical 12. [No authors listed] (2006) Scaling up the plex) so that we can assess the suitability infections global health conversation. Lancet 368: 1040. of the topic ahead of formal submission. Found at doi:10.1371/journal. 13. Simarro PP, Jannin J, Cattand P (2008) PLoS continues to receive requests pmed.0050059.sd001 (30 KB DOC). Eliminating human African trypanosomiasis: Where do we stand and what comes next? to launch new journals. In this PLoS Med 5: e55. doi:10.1371/journal. issue of PLoS Medicine, for example, References pmed.0050055 Basia Zaba and colleagues make 1. Pécoul B (2004) New drugs for neglected 14. Chandramohan D, Shibuya K, Setel P, diseases: From pipeline to patients. PLoS Med Cairncross S, Lopez A, et al. (2008) Should the case for a new open-access 1: e6. doi:10.1371/journal.pmed.0010006 data from demographic surveillance systems journal specializing in research on 2. Moran M (2005) A breakthrough in R&D for be made more widely available to researchers? demographic surveillance—the process neglected diseases: New ways to get the drugs PLoS Med 5: e57. doi:10.1371/journal. we need. PLoS Med 2: e302. doi:10.1371/ pmed.0050057. of monitoring births, deaths, causes of journal.pmed.0020302 15. Doolan K, Ehrlich R, Myer L (2007) death, and migration in a population 3. The PLoS Medicine Editors (2005) A new era of Experience of violence and socioeconomic hope for the world’s most neglected diseases. position in South Africa: A national study. over time [14]. Our response to these PLoS Med 2: e323. doi:10.1371/journal. PLoS ONE 2: e1290. doi:10.1371/journal. requests is this: PLoS ONE (http:// pmed.0020323 pone.0001290

PLoS Medicine | www.plosmedicine.org 0168 February 2008 | Volume 5 | Issue 2 | e59