Changes in Malaria Epidemiology in Africa and New Challenges for Elimination.

Changes in Malaria Epidemiology in Africa and New Challenges for Elimination.
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DOI:
10.1016/j.pt.2016.11.006
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发表时间:
2017-03
影响因子:
9.6
通讯作者:
Osier FHA
Osier FHA
中科院分区:
医学1区
文献类型:
--
作者:
Nkumama IN;O'Meara WP;Osier FHA

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虽然恶性疟原虫疟疾的负担在非洲许多地区逐渐下降,但其特点是空间和时间的变化,这对疟疾控制方案提出了新的和不断变化的挑战。在流行病学不断变化的情况下,需要持续减少疟疾负担,同时应对持续或不断增加的大面积传播。需要优先建立大规模、强有力的监测机制,在缺乏此类数据的非洲大陆广大地区,衡量而不是估计长期以来疟疾的实际负担。我们回顾这些令人着迷的发展,告诫不要自满,并提出的情况下,提高疟疾监测的范围和质量是至关重要的非洲,因为她迈向消除。
Although the burden of Plasmodium falciparum malaria is gradually declining in many parts of Africa, it is characterized by spatial and temporal variability that presents new and evolving challenges for malaria control programs. Reductions in the malaria burden need to be sustained in the face of changing epidemiology whilst simultaneously tackling significant pockets of sustained or increasing transmission. Large-scale, robust surveillance mechanisms that measure rather than estimate the actual burden of malaria over time from large areas of the continent where such data are lacking need to be prioritized. We review these fascinating developments, caution against complacency, and make the case that improving the extent and quality of malaria surveillance is vital for Africa as she marches on towards elimination.
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