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Some disorders are exceptionally rare and affect just few people around the world. Their rarity presents a serious problem for both patients and doctors. This article discusses what is currently done to address this problem.

Most rare diseases, even when well characterized, simply cannot be treated. This is because pharmaceutical companies are not interested in developing drugs for these disorders, mainly because the return on the enormous investment needed to develop a pharmaceutical product for a rare disease is not attractive for these companies. This regrettable situation remained largely unchanged for many years, and it was only in the past few decades that orphan diseases gained recognition as a serious public health problem, thanks to the activism of patients’ associations and professional groups.

Starting in the 1980s in the USA, efforts have been made to stimulate the research, development and marketing of medicinal products for rare diseases. Nowadays, regulatory incentives exist in most developed countries, with policies on orphan drugs being adopted in Japan, Australia and EU in the 1990s and 2000s. 

So far, in the United States, over 400 products have been approved as therapy for more than 200 rare disease indications and in the EU, over 70 products for about 45 indications.

In addition, the establishment of various research programs and networks has also helped to advance scientific understanding and improve diagnosis rates of rare diseases. For instance, the International Rare Diseases Research Consortium (IRDiRC) was launched in 2011 at the initiative of the European Commission and the U.S. National Institutes of Health with the aim of fostering international collaboration in rare disease research.

Finding reliable information for rare diseases can be problematic

However, despite these positive developments, the burden of rare diseases continues to persist.

And one of the main problems that newly diagnosed patients face is the shortage of reliable, accessible information on their condition — you know you're in trouble when your doctor cannot tell you much about your condition, even after combing through the available research.

See Also: Rare Condition: Leprosy (Hansen's Disease)

Many turn to quick Internet searches, but most sources fail to be reliable and can actually raise unjustified concerns and beliefs. It is crucial to avoid articles written by laypeople, as this can lead to the mismanagement of symptoms. Sources of detailed, quality-assured information on rare diseases include the following:

  • EURORDIS InfoHub: EURORDIS is a European non-governmental patient-driven alliance of patient organizations and individuals active in the field of rare diseases. Their InfoHub page (http://www.eurordis.org/rare-disease-information) helps patients to find quality rare disease information on the Internet, indicates where to find quality rare disease information on the Internet, and includes a tool to provide access to search results based on an index of affiliated patient organization websites.
  • Office of Rare Diseases Research: the website of the ORDR, which belongs to the U.S. National Center for Advancing Translational Sciences , offers visitors a very complete resource  page. From here, patients will be guided to a series of reliable websites on various topics related to rare diseases, including rare disease social networks, online medical reference Web sites, rare disease events, and more (http://rarediseases.info.nih.gov/resources/2/rare-diseases-resources).
  • ORPHANET: Orphanet is s the reference portal for information on rare diseases and orphan drugs (http://www.orpha.net/). It is perhaps one of the most complete online sources on information about rare diseases, including an inventory of rare diseases and an inventory of orphan drugs at all stages of development.

  • RINALDI, A. 2005. Adopting an orphan - Incentives to develop drugs for rare disorders raise hopes and controversy. EMBO Reports, 6, 507–510
  • TAMBUYZER, E. 2010. Rare diseases, orphan drugs and their regulation: questions and misconceptions. Nature Reviews Drug Discovery, 9, 921-929.
  • Photo courtesy of EURORDIS by Wikimedia Commons : commons.wikimedia.org/wiki/File:RDD_logo.jpg
  • Photo courtesy of PAHO/WHO by Flickr : www.flickr.com/photos/pahowho/9403953426

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