---
title: "Research intensity for neglected tropical diseases and other infectious diseases before and after"
id: "pubmed-42565477"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42565477"
content_type: "clinical_feed_article"
specialty: "Critical Care"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42565477/"
doi: "10.7189/jogh.16.04255"
published_at: "2026-08-07T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Research intensity for neglected tropical diseases and other infectious diseases before and after
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42565477
- **Specialty:** [Critical Care](https://medichelpline.com/clinical-feed/critical-care.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42565477/)
- **DOI:** [10.7189/jogh.16.04255](https://doi.org/10.7189%2Fjogh.16.04255)
- **Published At:** 2026-08-07T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- The study evaluated research intensity for 67 infectious diseases, including 18 **neglected tropical diseases (NTDs)**, across 2016–2023 using a burden-adjusted research intensity (BARI) index derived from disease burden and scholarly publications. - The analysis identified markedly high research intensity for **COVID-19**, **HIV**, **influenza**, and **Zika**, while paratyphoid fever had a significantly low BARI. - No significant difference was found in median BARI between NTDs and non-NTDs during the pandemic period (2020–2023), indicating NTDs were not disproportionately deprioritised as a group. - Seven NTDs remained in the lowest quartile of BARI scores, showing persistent low relative research intensity for specific diseases. - The BARI index decreased significantly for three NTDs—**cysticercosis**, **dengue**, and **schistosomiasis**—when comparing pre-pandemic and post-pandemic periods. - Among non-NTDs, BARI decreased for 12 diseases; there was no significant difference in the proportion of diseases with decreased BARI between NTDs and non-NTDs. - Disease characteristics and geographic research locations showed modest associations with research intensity, but subgroup analyses did not reveal a clear impact of the COVID-19 pandemic on these associations. - The authors conclude that while the formal NTD category was not broadly deprioritised during COVID-19, several diseases—both NTDs and non-NTDs—demonstrated persistently low or declining research attention. - The paper emphasizes that research on non-pandemic infectious diseases, including **NTDs**, is integral to pandemic preparedness and that sustained, broad research investment is necessary to support global equity. - Study metadata: J Glob Health. 2026; PMID 42565477; DOI 10.7189/jogh.16.04255. Authors include Ryo Komorizono, Raita Tamaki, Naoko Fujita, Masakaze Hamada, Kana Suzuki, Satoshi Kaneko, and Yuki Furuse.
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Affiliations Expand ### Affiliations * 1 Department of Microbiology and Infection, The University of Tokyo Pandemic Preparedness, Infection and Advanced Research Centre (UTOPIA), The University of Tokyo, Tokyo, Japan. * 2 Kenya Research Station, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan. * 3 Department of Eco-epidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan. # Contributed equally. * PMID: **42565477** * DOI: [ 10.7189/jogh.16.04255 ](https://doi.org/10.7189/jogh.16.04255) Item in Clipboard # Research intensity for neglected tropical diseases and other infectious diseases before and after the COVID-19 pandemic Ryo Komorizono et al. J Glob Health. 2026. Show details Display options Display options Format Abstract PubMed PMID J Glob Health Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22J+Glob+Health%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22J+Glob+Health%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42565477/) . 2026 Aug 7:16:04255. doi: 10.7189/jogh.16.04255. ### Authors [Ryo Komorizono](https://pubmed.ncbi.nlm.nih.gov/?term=Komorizono+R&cauthor_id=42565477)[#](https://pubmed.ncbi.nlm.nih.gov/42565477/#short-view-equal-contrib-explanation "Contributed equally")[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42565477/#short-view-affiliation-1 "Department of Microbiology and Infection, The University of Tokyo Pandemic Preparedness, Infection and Advanced Research Centre \(UTOPIA\), The University of Tokyo, Tokyo, Japan."), [Raita Tamaki](https://pubmed.ncbi.nlm.nih.gov/?term=Tamaki+R&cauthor_id=42565477)[#](https://pubmed.ncbi.nlm.nih.gov/42565477/#short-view-equal-contrib-explanation "Contributed equally")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42565477/#short-view-affiliation-2 "Kenya Research Station, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan."), [Naoko Fujita](https://pubmed.ncbi.nlm.nih.gov/?term=Fujita+N&cauthor_id=42565477)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42565477/#short-view-affiliation-1 "Department of Microbiology and Infection, The University of Tokyo Pandemic Preparedness, Infection and Advanced Research Centre \(UTOPIA\), The University of Tokyo, Tokyo, Japan."), [Masakaze Hamada](https://pubmed.ncbi.nlm.nih.gov/?term=Hamada+M&cauthor_id=42565477)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42565477/#short-view-affiliation-1 "Department of Microbiology and Infection, The University of Tokyo Pandemic Preparedness, Infection and Advanced Research Centre \(UTOPIA\), The University of Tokyo, Tokyo, Japan."), [Kana Suzuki](https://pubmed.ncbi.nlm.nih.gov/?term=Suzuki+K&cauthor_id=42565477)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42565477/#short-view-affiliation-2 "Kenya Research Station, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan."), [Satoshi Kaneko](https://pubmed.ncbi.nlm.nih.gov/?term=Kaneko+S&cauthor_id=42565477)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42565477/#short-view-affiliation-2 "Kenya Research Station, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.")[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42565477/#short-view-affiliation-3 "Department of Eco-epidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan."), [Yuki Furuse](https://pubmed.ncbi.nlm.nih.gov/?term=Furuse+Y&cauthor_id=42565477)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42565477/#short-view-affiliation-1 "Department of Microbiology and Infection, The University of Tokyo Pandemic Preparedness, Infection and Advanced Research Centre \(UTOPIA\), The University of Tokyo, Tokyo, Japan.") ### Affiliations * 1 Department of Microbiology and Infection, The University of Tokyo Pandemic Preparedness, Infection and Advanced Research Centre (UTOPIA), The University of Tokyo, Tokyo, Japan. * 2 Kenya Research Station, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan. * 3 Department of Eco-epidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan. # Contributed equally. * PMID: **42565477** * DOI: [ 10.7189/jogh.16.04255 ](https://doi.org/10.7189/jogh.16.04255) Item in Clipboard Cite Display options Display options Format Abstract PubMed PMID ## Abstract **Background:** Infectious diseases can cause tremendous health and economic damage, as shown by past pandemics. Although research tends to spotlight emerging infectious diseases, neglected tropical diseases (NTDs) require sustained research and development to advance global public health. However, there is concern that the recent COVID-19 pandemic may have interrupted research on NTDs, leading to further neglect of these diseases. **Results:** We assessed the bias of research intensities for 67 infectious diseases, including 18 NTDs, from 2016 to 2023. We calculated the burden-adjusted research intensity (BARI) index for each disease, based on disease burden and scholarly publications. Significantly high research intensity was observed for COVID-19, HIV, influenza, and Zika, while paratyphoid fever showed significantly low BARI. We found no significant difference in the median BARI index between NTDs and non-NTDs during the pandemic period of 2020-2023. Among the lowest quartile of BARI index scores, seven were still NTDs. The BARI index for cysticercosis, dengue, and schistosomiasis has declined significantly when comparing the pre- and post-pandemic periods. As for non-NTDs, the BARI of 12 diseases decreased; there was no significant difference in the proportion of diseases for which the BARI decreased during the COVID-19 pandemic between NTDs and non-NTDs. Disease characteristics and research locations were modestly associated with research intensity, and the impact of COVID-19 was not evident even in the subgroups. **Conclusions:** We found no evidence that NTDs, as a formal disease category, were disproportionately deprioritised in research during the COVID-19 pandemic. However, several diseases, including both NTDs and non-NTDs, showed persistently low or declining relative research intensity. As research on non-pandemic infectious diseases, including NTDs, should be viewed not as competing with pandemic preparedness and response, but as integral to it, this study emphasises the importance of sustained, wide-reaching research investments for global equity. **Keywords:** COVID-19; bibliometrics; disease burden; equity; neglected tropical diseases; research and development. © 2026 The Authors. [PubMed Disclaimer](https://pubmed.ncbi.nlm.nih.gov/disclaimer/) ## Conflict of interest statement Disclosure of interest: The authors completed the ICMJE Disclosure of Interest Form (available upon request from the corresponding author) and disclose no relevant interests. ## Similar articles * [ Impact of COVID-19 on the neglected tropical diseases: a scoping review. ](https://pubmed.ncbi.nlm.nih.gov/39075616/) Butala CB, Cave RNR, Fyfe J, Coleman PG, Yang GJ, Welburn SC.Butala CB, et al.Infect Dis Poverty. 2024 Jul 29;13(1):55. doi: 10.1186/s40249-024-01223-2.Infect Dis Poverty. 2024.PMID: 39075616Free PMC article. * [ Measuring Progress of 2030 Skin-Related Neglected Tropical Diseases Sustainable Development Goals. ](https://pubmed.ncbi.nlm.nih.gov/41739494/) Cao X, Wang M, Zhou M, Zhang X, Mi Y, Yu P, Gu J, Huang C, Guo Y.Cao X, et al.JAMA Dermatol. 2026 Apr 1;162(4):368-377. doi: 10.1001/jamadermatol.2025.6135.JAMA Dermatol. 2026.PMID: 41739494 * [ Neglected Tropical Diseases (NTDs) and COVID-19 Pandemic in Africa: Special Focus on Control Strategies. ](https://pubmed.ncbi.nlm.nih.gov/35490317/) Aborode AT, Fajemisin EA, Aiyenuro EA, Alakitan MT, Ariwoola MO, Imisioluwa JO, Rafiu R, Alexiou A.Aborode AT, et al.Comb Chem High Throughput Screen. 2022;25(14):2387-2390. doi: 10.2174/1386207325666220427123349.Comb Chem High Throughput Screen. 2022.PMID: 35490317 * [ The impact of COVID-19 on clinical research for Neglected Tropical Diseases (NTDs): A case study of bubonic plague. ](https://pubmed.ncbi.nlm.nih.gov/34928955/) Rasoanaivo TF, Bourner J, Randriamparany RN, Gamana TM, Andrianaivoarimanana V, Raherivelo MH, Randriamampionona H, Rajerison M, Raberahona M, Salam AP, Edwards T, Olliaro PL, Randremanana RV.Rasoanaivo TF, et al.PLoS Negl Trop Dis. 2021 Dec 20;15(12):e0010064. doi: 10.1371/journal.pntd.0010064. eCollection 2021 Dec.PLoS Negl Trop Dis. 2021.PMID: 34928955Free PMC article. * [ Neglected Tropical Diseases in Italy: introducing IN-NTD, the Italian network for NTDs. ](https://pubmed.ncbi.nlm.nih.gov/37264942/) Casulli A, Antinori S, Bartoloni A, D'Amelio S, Gabrielli AF, Gazzoli G, Rinaldi L, Bruschi F; IN-NTD network.Casulli A, et al.Parasitology. 2023 Oct;150(12):1082-1088. doi: 10.1017/S0031182023000422. Epub 2023 May 9.Parasitology. 2023.PMID: 37264942Free PMC article.Review. 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