First, the primary concern should not be with reducing disease prevalence, but rather disease burden – the health impact as measured by disability and premature mortality. That means channeling resources according to burden rather than according to prevalence, particularly as co-morbidity (two or more diseases in the same patient) increases.
首先，关注的焦点不应该是疾病普遍性的下降，而是疾病负担——用致残和致过早死亡的标准来衡量——的下降。这意味着应该根据负担，而不是普遍性，来配置资源，比如（特别是）并发症（即两种或以上病症在同一患者身上出现）的增加情况。