Epidemiology and control of malaria in Colombia
Epidemiology and control of malaria in Colombia
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DOI：
10.1590/s0074-02762011000900015
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发表时间：
2011-08-01
期刊：
影响因子：
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通讯作者：
Valencia, Sócrates Herrera
中科院分区：
文献类型：
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作者：
Rodríguez, Julio Cesar Padilla;Uribe, Gilberto Álvarez;Valencia, Sócrates Herrera
疟疾目前是哥伦比亚最严重的公共卫生问题之一，其地方病/流行病传播模式一直维持在地方病水平，过去五年中报告的临床病例平均每年为105 000例。间日疟原虫约占报告病例的70%，其余病例几乎完全归因于恶性疟原虫。少数严重和复杂病例导致死亡，这是过去几年来一直保持的下降趋势。哥伦比亚90%以上的疟疾病例集中在70个城市（约占哥伦比亚城市总数的7%），其中农村地区占多数（85%）。本文的目的是回顾在过去的世纪的疟疾传播的生态流行病学背景下，与官方合并的发病率和死亡率报告的疟疾根除活动和控制措施的进展。这一审查可能有助于制定新的抗疟战略和政策，以便在哥伦比亚和该区域消除/根除疟疾。
Malaria is currently one of the most serious public health problems in Colombia with an endemic/epidemic transmission pattern that has maintained endemic levels and an average of 105,000 annual clinical cases being reported over the last five years. Plasmodium vivax accounts for approximately 70% of reported cases with the remainder attributed almost exclusively to Plasmodium falciparum. A limited number of severe and complicated cases have resulted in mortality, which is a downward trend that has been maintained over the last few years. More than 90% of the malaria cases in Colombia are confined to 70 municipalities (about 7% of the total municipalities of Colombia), with high predominance (85%) in rural areas. The purpose of this paper is to review the progress of malaria-eradication activities and control measures over the past century within the eco-epidemiologic context of malaria transmission together with official consolidated morbidity and mortality reports. This review may contribute to the formulation of new antimalarial strategies and policies intended to achieve malaria elimination/eradication in Colombia and in the region.