NTD Intelligence

Noma (cancrum oris)

Neglected tropical disease intelligence: burden, staged therapeutics with published-evidence filter, and documented post-infectious syndrome with literature persistence rates.

Deaths / year
GBD (indicative unless refreshed)
DALYs / year
GBD
Pathogen
Polymicrobial
Post-infectious
Lasting sequela
Persistent symptoms
n/a

Added to WHO NTD list December 2023 (21st NTD).

Post-infectious syndrome & persistent symptoms

Whether a post-acute infection syndrome is documented and the literature proportion with persistent symptoms.

Post-acute status
Severe facial disfigurement, trismus, functional (eating/speech) impairment in survivors
Classification
Lasting sequela
Onset
post-acute (survivors)
Persistent-symptom %
not quantified as a single figure (see notes)
Source: Srour 2015; WHO

Therapeutic agents by stage

Vector control, prevention, acute treatment, and post-infectious care. Only agents with published evidence are shown by default.

Prevention

AgentTypeStatusMechanism / roleSource
Nutrition & oral hygiene programsPreventionApprovedMalnutrition is major risk factorWHO / MSF

Acute phase

AgentTypeStatusMechanism / roleSource
Amoxicillin–clavulanateAntibioticApprovedAcute necrotizing infectionWHO EML / standard of care
MetronidazoleAntibioticApprovedAnaerobic coverageWHO EML / standard of care

Post-infectious phase

AgentTypeStatusMechanism / roleSource
Nutritional rehabilitation + reconstructive surgerySupportiveApprovedSurvivor reconstructionWHO / MSF protocols

Associated drug targets (Open Targets): GCG, CAT

Burden: IHME GBD (indicative seed unless refreshed) · Therapeutics: curated WHO EML / SOC + Open Targets pipeline · Post-infectious data: curated peer-reviewed literature · Ontology: MONDO_0017124 · Updated 2026-07-10. Associations, not a diagnostic test.