Monitoring malaria control in Khammouane province, Laos:: an active case detection survey of Plasmodium falciparum malaria using the Paracheck rapid diagnostic test

Monitoring malaria control in Khammouane province, Laos:: an active case detection survey of Plasmodium falciparum malaria using the Paracheck rapid diagnostic test
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DOI:
10.1016/j.trstmh.2008.05.014
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发表时间:
2008-08-01
影响因子:
2.2
通讯作者:
Kuroiwaa, Chushi
Kuroiwaa, Chushi
中科院分区:
医学4区
文献类型:
--
作者:
Shirayama, Yoshihisa;Phompida, Samlane;Kuroiwaa, Chushi

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1997年,老挝甘蒙省当地卫生机构报告了超过5000例滑坡阳性疟疾病例。为了遏制疟疾的传播,老挝卫生部和日本国际协力机构向该省人民提供了驱虫蚊帐(ITN)和社区健康教育。为了记录当前的疟疾情况,2005年6月至7月雨季,利用快速诊断测试在23个地点进行了主动病例发现(ACD)调查。共有403户1711名村民参与了调查。阳性病例比例为0.7%(12/1711),每个村庄的范围为0-8.2%。本次 ACD 调查中观察到的低感染率与当地卫生机构幻灯片阳性疟疾病例数量的减少(从 5000 多例减少到 536 例)一致,表明疟疾控制取得了实质性进展。尽管疟疾病例的减少可归因于多种因素,但继续促进正确使用驱虫蚊帐以及基于社区的检测和治疗服务,特别是在偏远地区,可能会导致该省疟疾病例的进一步减少。 (c) 2008 年皇家热带医学和卫生学会。由爱思唯尔有限公司出版。保留所有权利。
In Khammouane province, Laos, over 5000 slide-positive malaria cases were reported at local health facilities in 1997. To combat the spread of malaria, insecticide-treated nets (ITNs) and community health education were provided to the people in this province by the Lao Ministry of Health and the Japan International Cooperation Agency. In order to document the current malaria situation, an active case detection (ACD) survey using rapid diagnostic tests was conducted at 23 sites from June to July, the rainy season, in 2005. A total of 1711 villagers from 403 households participated in the survey. The proportion of positive cases was 0.7% (12/1711) with a range in each village of 0-8.2%. The Low infection rate observed in this ACD survey was consistent with the decrease in the number of slide-positive malaria cases at local health facilities (from over 5000 cases to 536 cases), indicating the substantial progress made in malaria control. Although the reduction of malaria cases can be attributed to multiple factors, continued promotion of the proper use of ITNs as well as community-based testing and treatment services, especially in remote areas, may lead to a further reduction of malaria cases in the province. (c) 2008 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.