Malaria control: constraints and opportunities
Malaria control: constraints and opportunities
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DOI：
10.1046/j.1365-3156.2002.00981.x
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发表时间：
2002-12-01
影响因子：
3.3
通讯作者：
Kager, PA
中科院分区：
文献类型：
--
作者：
Kager, PA
1950年代和1960年代的消灭疟疾运动在工业化世界消灭了疟疾，在其他地方，特别是亚洲，疟疾的发病率也大幅度下降。在非洲，几乎没有试图根除。由于各种原因，结果无法维持。根除不得不放弃，控制成为政策。自1992年以来，疟疾防治工作以四项原则为基础：早期诊断和治疗;选择性和可持续的预防措施，包括病媒控制;发现、遏制和预防流行病，以及建立地方能力。目前可用的工具的几个限制进行了讨论。主要问题是抗药性和卫生部门的不良表现。国际社会对这一问题的认识和国际合作、现有的财政资源和科学进步为减少疟疾负担的协调努力提供了机会。业务研究、实地研究以及实施和改进外围保健服务将是至关重要的。
The malaria eradication campaign of the 1950s and 1960s achieved elimination of malaria from the industrialized world and drastic reduction of malaria elsewhere, especially Asia. In Africa, eradication was hardly attempted. For various reasons, results could not be maintained. Eradication had to be given up, control became the policy. Since 1992 malaria control is based on four principles: early diagnosis and treatment; selective and sustainable preventive measures, including vector control; detection, containment and prevention of epidemics, and building up of local capacity. Several constraints with the presently available tools are discussed. Major problems are drug resistance and poor performance of the health sector. International awareness of the problem and international co-operation, the financial resources now available and scientific advances offer opportunities for a concerted effort to reduce the burden of malaria. Operational research, field research and implementation and improvement of the peripheral health service will be of paramount importance.