1. National School of Tropical Medicine An Assault on the Diseases of
Peter Hotez MD PhD FAAP
An Assault on the Diseases of
“The Bottom Billion” 1

2. The Tropical Diseases: NTDs & Malaria
xxx00.#####.ppt 9/22/2018 9:37:48 PM
Most prevalent infections of poor people
Approximately 1.4 BILLION people infected worldwide
Ascariasis million
Trichuriasis million
Hookworm million
Schistosomiasis 440 million
Malaria million
Lymphatic Filariasis 120 million
Trachoma million
Onchocerciasis million
Leishmaniasis million
Chagas disease million
Text
Hotez PJ et al. N. Engl. J. Med

3. Up to one million cases in U.S.
xxx00.#####.ppt 9/22/2018 9:37:48 PM
Chagas Disease
Up to one million cases in U.S.
267,000 cases in Texas
Widespread in Amazon:
Oral transmission
Palm berry or Acal juice
Text