Residual Malaria Transmission in Select Countries of Asia-Pacific Region: Old Wine in a New Barrel.

Residual Malaria Transmission in Select Countries of Asia-Pacific Region: Old Wine in a New Barrel.
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亚太区域某些国家的疟疾残余传播:新桶里的旧酒。

DOI:
10.1093/infdis/jiab004
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发表时间:
2021-04-27
期刊:
The Journal of infectious diseases
影响因子:
--
通讯作者:
Bangs MJ
Bangs MJ
中科院分区:
其他
文献类型:
--
作者:
Hii J;Hustedt J;Bangs MJ

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尽管疟疾负担大幅减少,病例管理也有所改善,但疟疾仍然是亚太地区的一项重大公共卫生挑战。残留疟疾传播(RMT)是指在通过有效的驱虫蚊帐/长效杀虫蚊帐和/或室内残留喷洒干预措施实现全业务覆盖后持续传播的总传播率。迫切需要标准化和共享昆虫学、人类学和产品开发调查方案的最佳做法,以应对RMT和消除目标的挑战。对发生RMT的时间和地点进行了系统的审查,同时特别针对ITN/LLIN的所有权和使用、室内残留喷洒、媒介的杀虫剂敏感性以及人和媒介的叮咬行为,重点放在夜间活动上。从1995年至今,有66份出版物符合更密切审查的收录标准。当地病媒控制复盖率和使用与人类和蚊子病媒行为之间的联系因地点和环境而异。因此,对RMT的规模没有进行充分的研究和分析,对社区中的个人接触、对ITN/LLIN使用情况的观察不足或不完整,以及当地人口进出高危地区的情况估计很少。这项审查查明了需要紧急注意的重大差距或不足之处,即:制定标准化程序和方法以估计周围环境以外的风险敞口,分析办法以衡量关键的人与病媒相互作用,以及特定地点的季节性农业或森林使用日历,以及建立时间和地点相近的纵向人类和病媒数据收集。
Despite substantial reductions in malaria burden and improvement in case management, malaria remains a major public health challenge in the Asia-Pacific region. Residual malaria transmission (RMT) is the fraction of total transmission that persists after achievement of full operational coverage with effective insecticide-treated bed nets (ITNs)/long-lasting insecticidal nets (LLINs) and/or indoor residual spray interventions. There is a critical need to standardize and share best practices for entomological, anthropological, and product development investigative protocols to meet the challenges of RMT and elimination goals. A systematic review was conducted to describe when and where RMT is occurring, while specifically targeting ownership and usage of ITN/LLINs, indoor residual spray application, insecticide susceptibility of vectors, and human and vector biting behavior, with a focus on nighttime activities. Sixty-six publications from 1995 to present met the inclusion criteria for closer review. Associations between local vector control coverage and use with behaviors of human and mosquito vectors varied by locality and circumstance. Consequently, the magnitude of RMT is insufficiently studied and analyzed with sparse estimates of individual exposure in communities, insufficient or incomplete observations of ITN/LLIN use, and the local human population movement into and from high-risk areas. This review identified significant gaps or deficiencies that require urgent attention, namely, developing standardized procedures and methods to estimate risk exposure beyond the peridomestic setting, analytical approaches to measure key human-vector interactions, and seasonal location-specific agricultural or forest use calendars, and establishing the collection of longitudinal human and vector data close in time and location.
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