Shrinking the malaria map: progress and prospects.

Shrinking the malaria map: progress and prospects.
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DOI:
10.1016/s0140-6736(10)61270-6
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发表时间:
2010-11-06
期刊:
影响因子:
168.9
通讯作者:
Snow, Robert W.
Snow, Robert W.
中科院分区:
医学1区
文献类型:
--
作者:
Feachem, Richard G. A.;Phillips, Allison A.;Hwang, Jimee;Cotter, Chris;Wielgosz, Benjamin;Greenwood, Brian M.;Sabot, Oliver;Henry Rodriguez, Mario;Abeyasinghe, Rabindra R.;Ghebreyesus, Tedros Adhanom;Snow, Robert W.

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在过去的150年里,世界上大约有一半的国家消灭了疟疾。目前,有99个疟疾流行国家-67个国家正在控制疟疾,32个国家正在执行消灭疟疾战略。本系列文章共分四部分,提供了有关消除疟疾的技术、操作和财务方面的证据。本系列的第一篇文章回顾了消灭的定义和消灭前的状态:控制低流行性疟疾。可行性评估被认为是一个国家从受控制的低度流行疟疾向消灭疟疾过渡的关键一步。介绍了32个消灭疟疾国家的特点,并与过去追求消灭疟疾的国家进行了对比。提出了消除的挑战和风险,包括间日疟原虫、寄生虫和蚊子种群的抗药性,以及如果投资和警惕性下降,可能死灰复燃。消除的好处,特别是消除作为一个区域和全球公益概述。对今后十年的优先事项作了说明。
In the past 150 years, roughly half of the countries in the world eliminated malaria. Nowadays, there are 99 endemic countries—67 are controlling malaria and 32 are pursuing an elimination strategy. This four-part Series presents evidence about the technical, operational, and financial dimensions of malaria elimination. The first paper in this Series reviews definitions of elimination and the state that precedes it: controlled low-endemic malaria. Feasibility assessments are described as a crucial step for a country transitioning from controlled low-endemic malaria to elimination. Characteristics of the 32 malaria-eliminating countries are presented, and contrasted with countries that pursued elimination in the past. Challenges and risks of elimination are presented, including Plasmodium vivax, resistance in the parasite and mosquito populations, and potential resurgence if investment and vigilance decrease. The benefits of elimination are outlined, specifically elimination as a regional and global public good. Priorities for the next decade are described.