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Revista de BiologĂa Tropical, ISSN: 2215-2075, Vol. 71(S3): e57584, agosto-diciembre 2023 (Publicado Nov. 20, 2023)
schistosomiasis, public health, health promo-
tion, and health policy (Glover & Bowen, 2004).
At the turn of the century, American and
European journals specializing in tropical med-
icine included four large publications: Acta
Tropica, American Journal of Tropical Medicine
and Hygiene, Annals of Tropical Medicine and
Parasitology, and Transactions of the Royal Soci-
ety of Tropical Medicine and Hygiene (Keiser &
Utzinger, 2005). A new study reported that the
number of publications and the size of research
teams increased from 1950 to 2000, but that
the funding available to tropical researchers
was always far smaller than funding available
to their colleagues in industrialized countries
(Keiser & Utzinger, 2005).
A study that included both tropical and
non-tropical biomedical research, and that
covered from 1995 to 2003, found that most
publications on infectious diseases were from
Western Europe (39 %), while the United States
led in preventive medicine, public health, and
epidemiology. When adjusted for country
wealth, Canada, the United States, and Austra-
lia were the main publishers, while developing
countries had small research footprints. In the
specific field of tropical medicine, Western
Europe, Africa, and Latin America had the
highest output (Falagas et al., 2006). A much
smaller study from that time reported that,
among Latin American countries, Chile and
Brazil had the strongest presence in the scien-
tific literature (Rodriguez-Morales & Mayta-
Tristán, 2009).
The practical effect that research can have
on health needs to be improved, and this can
be done through operational research to close
the implementation gap; thus, the simple num-
ber of publications cannot be equated with the
advance in tropical health, according to a later
study by Zachariah et al. (2012).
More recent research has been limited to
particular diseases, like leishmaniasis, giar-
diasis, or Zika, or to particular regions, like
Asia-Pacific, Brazil, or China. Leishmani-
asis, endemic in 98 countries, has been studied
intensively, with 3 380 publications from 1945-
1980 to 8 267 from 2001-2010 in 1 846 journals;
originally, the leading producers were USA,
Brazil, and India, but in later years Brazil took
the lead. By population, the most productive
countries are Israel and Switzerland; by gross
domestic product, Nepal and Tunisia; and by
per capita income, India and Ethiopia (Ramos
et al., 2013). In the case of Giardia, its inclusion
in 2004 in the World Health Organization’s
Neglected Diseases Initiative seemed to favor
an increase in output (Escobedo et al., 2015).
The Zika virus increased greatly from 38 pub-
lications in 2015 to 1962 publications in 2017,
led by the US (47 %) (Nasir & Ahmed, 2018).
The studies about particular regions found
that Asia-Pacific research, published on the
journal of the same name, had a mean of 6.6
citations per article and that the most frequent
keywords were malaria, dengue, apoptosis,
antioxidant, rate, invasion, Anopheles stephesi,
and inflammation (Musa et al., 2020).
A recent study about tropical bioresearch
in Brazil found that there was an empha-
sis on Basic biomedical research (30 % of
publications) and a shortage of Health policy
and systems (7 %) and Social sciences (3 %).
Additionally, the main health problems did
not match the most studied subjects: research
output and funding were poorly correlated
with disease burden. Much money was spent
on diseases like leprosy, which are now minor-
ity diseases, and less funding was given to more
important diseases like leishmaniasis and schis-
tosomiasis (Fonseca et al., 2020).
Finally, a study of tropical medicine
research in China (2010 to 2019) reported 3 372
articles, most from a state disease control cen-
ter; it also found that Chinese research focused
on parasites and had a significant component of
international collaboration, done mostly with
the USA (Li et al., 2021). Similar studies have
been published recently (e.g. Ho, 2021; Juang
et al., 2021), centering on particular specialties.
In this article, we present the first-ever
study to consider all available fields and coun-
tries on the subject of tropical medicine; addi-
tionally, this study covers, in depth, a relatively
long period (the most recent three decades).