Seven years of regional malaria control collaboration - Mozambique, South Africa, and Swaziland
Seven years of regional malaria control collaboration - Mozambique, South Africa, and Swaziland
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DOI：
10.4269/ajtmh.2007.76.42
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发表时间：
2007-01-01
影响因子：
3.3
通讯作者：
Barreto, Averting
中科院分区：
文献类型：
--
作者：
Sharp, Brian L.;Kleinschmidt, Immo;Barreto, Averting
卢邦博空间发展倡议是莫桑比克、斯威士兰和南非政府的联合发展计划，将疟疾控制作为该计划的核心组成部分。2000年11月至2004年2月，莫桑比克南部逐步采用室内滞留喷洒控制病媒。在邻国南非和斯威士兰，通过年度横断面调查、昆虫学监测和疟疾病例报告评估恶性疟原虫感染的流行情况，进行监测以监测其影响。在莫桑比克南部，实施国税局后，恶性疟原虫流行率大幅下降，每个干预年的总体相对风险为0.74(P<；0.001)，从第一年的0.66到第五个干预年的0.93不等。在同一时期，南非和斯威士兰报告的疟疾通报病例大幅减少。该方案在减少整个目标地区疟疾传播方面的成功为投资于区域疟疾控制提供了强有力的论据。
The Lubombo Spatial Development Initiative is a joint development program between the governments of Mozambique, Swaziland, and South Africa, which includes malaria control as a core component of the initiative. Vector control through indoor residual spraying (IRS) was incrementally introduced in southern Mozambique between November 2000 and February 2004. Surveillance to monitor its impact was conducted by annual cross-sectional surveys to assess the prevalence of Plasmodium falciparum infection, entomologic monitoring, and malaria case notification in neighboring South Africa and Swaziland. In southern Mozambique, there was a significant reduction in P. falciparum prevalence after the implementation of IRS, with an overall relative risk of 0.74 for each intervention year (P < 0.001), ranging from 0.66 after the first year to 0.93 after the fifth intervention year. Substantial reductions in notified malaria cases were reported in South Africa and Swaziland over the same period. The success of the program in reducing malaria transmission throughout the target area provides a strong argument for investment in regional malaria control.