Engineering and malaria control: learning from the past 100 years

Engineering and malaria control: learning from the past 100 years
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DOI:
10.1016/j.actatropica.2003.09.013
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发表时间:
2004-01-01
期刊:
影响因子:
2.7
通讯作者:
Boelee, E
Boelee, E
中科院分区:
医学2区
文献类型:
--
作者:
Konradsen, F;van der Hoek, W;Boelee, E

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传统上,工程和基于环境的干预措施有助于亚洲的疟疾预防。然而,随着滴滴涕和其他强效杀虫剂的引入,化学控制成为主导策略。在蚊虫对广泛使用的杀虫剂迅速产生抗药性、开发新化学品的成本不断增加、实施残留喷洒计划所涉及的后勤限制以及与使用持久性有机污染物有关的环境问题之后,人们重新对基于环境管理的疟疾病媒控制方法产生了兴趣。为了指导以环境控制干预措施为重点的未来研究和业务议程,有必要从引入杀虫剂之前的成功和失败中吸取教训。本文的目的是描述亚洲在早期病媒控制干预方面取得的经验,重点是前印度旁遮普、马来西亚和斯里兰卡的病例。本文主要讨论1900-1950年期间实施的农业工程和土地和水管理病媒控制干预措施。在控制疟疾病媒的基于环境的方法的更广泛背景下讨论选定的病例,包括当前的相关性。显然,上个世纪初试行和执行的一些干预措施在今天仍然具有相关性,但通常是以非常具体的方式,并与其他预防和治疗活动相结合。从社会或环境的角度来看,以前支持实施的一些方法在今天是不可接受或不可行的。(C) 2003 Elsevier B.V.版权所有
Traditionally, engineering and environment-based interventions have contributed to the prevention of malaria in Asia. However, with the introduction of DDT and other potent insecticides, chemical control became the dominating strategy. The renewed interest in environmental-management-based approaches for the control of malaria vectors follows the rapid development of resistance by mosquitoes to the widely used insecticides, the increasing cost of developing new chemicals, logistical constraints involved in the implementation of residual-spraying programs and the environmental concerns linked to the use of persistent organic pollutants. To guide future research and operational agendas focusing on environmental-control interventions, it is necessary to learn from the successes and failures from the time before the introduction of insecticides. The objective of this paper is to describe the experiences gained in Asia with early vector control interventions focusing on cases from the former Indian Punjab, Malaysia and Sri Lanka. The paper deals primarily with the agricultural engineering and land and water management vector control interventions implemented in the period 1900-1950. The selected cases are discussed in the wider context of environment-based approaches for the control of malaria vectors, including current relevance. Clearly, some of the interventions piloted and implemented early in the last century still have relevance today but generally in a very site-specific manner and in combination with other preventive and curative activities. Some of the approaches followed earlier on to support implementation would not be acceptable or feasible today, from a social or environmental point of view. (C) 2003 Elsevier B.V. All rights reserved.