Maps of the Sri Lanka malaria situation preceding the tsunami and key aspects to be considered in the emergency phase and beyond.
Maps of the Sri Lanka malaria situation preceding the tsunami and key aspects to be considered in the emergency phase and beyond.
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DOI：
10.1186/1475-2875-4-8
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发表时间：
2005-01-27
期刊：
影响因子：
3
通讯作者：
Amerasinghe FP
中科院分区：
文献类型：
--
作者：
Briët OJ;Galappaththy GN;Konradsen F;Amerasinghe PH;Amerasinghe FP
海啸发生后，详细概述该地区特定的传播水平对于评估斯里兰卡的疟疾风险至关重要。关于媒介杀虫剂耐药性、寄生虫耐药性的最新信息以及对国家疟疾诊断和治疗政策的深入了解对于协助国家和国际机构的控制工作非常重要。 1995 年 1 月至 2004 年 10 月期间确诊的疟疾病例的月度记录被用来对地区空间分辨率的疟疾分布进行分析。此外，还对已发表的报告和定期收集的信息进行了重点审查。在灾害发生前的 10 个月里，在传播率最高的地区，疟疾发病率仅为每千人 1 例。尽管重新安置的人们可能更容易受到蚊虫叮咬，并且他们处理疾病的能力也受到影响，但海啸引起的环境变化不太可能促进主要媒介的繁殖，而且鉴于目前寄生虫储存库较低，疟疾爆发的可能性也很低。然而，密切监测情况是必要的，尤其是 12 月至 2 月通常是传播高峰季节。尽管遭受了一些损失，斯里兰卡公共卫生系统仍有能力应对海啸后疟疾爆发可能造成的威胁。如果不符合政府政策，外国医疗援助、药品和杀虫剂的涌入可能会干扰疟疾监测以及斯里兰卡的长期疟疾控制战略。
Following the tsunami, a detailed overview of the area specific transmission levels is essential in assessing the risk of malaria in Sri Lanka. Recent information on vector insecticide resistance, parasite drug resistance, and insights into the national policy for malaria diagnosis and treatment are important in assisting national and international agencies in their control efforts. Monthly records over the period January 1995 – October 2004 of confirmed malaria cases were used to perform an analysis of malaria distribution at district spatial resolution. Also, a focused review of published reports and routinely collected information was performed. The incidence of malaria was only 1 case per thousand population in the 10 months leading up to the disaster, in the districts with the highest transmission. Although relocated people may be more exposed to mosquito bites, and their capacity to handle diseases affected, the environmental changes caused by the tsunami are unlikely to enhance breeding of the principal vector, and, given the present low parasite reservoir, the likelihood of a malaria outbreak is low. However, close monitoring of the situation is necessary, especially as December – February is normally the peak transmission season. Despite some losses, the Sri Lanka public health system is capable of dealing with the possible threat of a malaria outbreak after the tsunami. The influx of foreign medical assistance, drugs, and insecticides may interfere with malaria surveillance, and the long term malaria control strategy of Sri Lanka, if not in accordance with government policy.
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影响因子：
3
作者：
Briët OJ;Gunawardena DM;van der Hoek W;Amerasinghe FP
通讯作者：
Amerasinghe FP
影响因子：
2.7
作者：
Sahu, SS
通讯作者：
Sahu, SS
影响因子：
1.9
作者：
Surendran, SN;Abhayawardana, TA;Ramasamy, MS
通讯作者：
Ramasamy, MS
DOI：
10.1016/s0035-9203(96)90325-9
发表时间：
1996-09-01
影响因子：
2.2
作者：
Handunnetti, SM;Gunewardena, DM;Mendis, KN
通讯作者：
Mendis, KN
DOI：
10.1016/0035-9203(89)90298-8
发表时间：
1989-07-01
影响因子：
2.2
作者：
HERATH, PRJ;JOSHI, GP
通讯作者：
JOSHI, GP