Asia-Pacific malaria is singular, pervasive, diverse and invisible.
Asia-Pacific malaria is singular, pervasive, diverse and invisible.
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DOI：
10.1016/j.ijpara.2016.06.006
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发表时间：
2017-06
影响因子：
4
通讯作者：
Baird JK
中科院分区：
文献类型：
--
作者：
Baird JK
亚太地区疟疾具有独特的特点和多样性。亚太地区有20多亿居民面临感染疟疾的风险。亚太地区尚不存在消除疟疾的工具。亚太地区与疟疾的斗争很可能会延续到2030年以后。亚太地区的疟疾目标是到2030年消灭疟疾。这篇文章提出了这样一个问题：“用什么方法？”在行之有效的技术战略和工具的背景下，应对亚太疟疾问题的独特性质所带来的关键挑战。亚太区域的疟疾被错误地认为是一个不太严重但在其他方面基本上与非洲疟疾相似的问题，这诱使我们机械地采用同样的工具和战略。现在减轻非洲疟疾危害的措施不足以消除亚太地区的疟疾--这些任务和问题从根本上是截然不同的。本文描述了亚太地区疟疾的独特特征及其对消除疟疾技术战略的影响。这一努力所需的大多数工具尚不存在，在未来14年内大力呼吁消除这些工具，可能会打击构思、优化和验证这些工具所需的耐心和投资。
Asia-Pacific malaria has unique character and diversity. Over 2 billion residents of the Asia-Pacific region live at risk of malaria infection. The tools to eliminate malaria in the Asia-Pacific region do not yet exist. Combatting malaria in the Asia-Pacific region is likely to extend well beyond 2030. Malaria in the Asia-Pacific region has been targeted for elimination by the year 2030. This article asks the question, “by what means?” in the context of proven technical strategies and tools against key challenges imposed by the distinct character of the Asia-Pacific malaria problem. The misperception of malaria in the Asia-Pacific region as a less serious but otherwise essentially similar problem to African malaria lulls us into rote application of the same tools and strategies. Those now mitigating the harm done by malaria in Africa will not suffice to eliminate malaria in the Asia-Pacific region – these tasks and the problems are fundamentally distinct. This article describes the singular characteristics of Asia-Pacific malaria and the bearing of those upon the technical strategy of malaria elimination. Most of the tools needed for that endeavour do not yet exist and spirited calls for elimination within the next 14 years may discourage the patience and investments needed to conceive, optimise and validate them.