Malaria distribution, prevalence, drug resistance and control in Indonesia.
Malaria distribution, prevalence, drug resistance and control in Indonesia.
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DOI：
10.1016/b978-0-12-385897-9.00002-1
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发表时间：
2011
影响因子：
--
通讯作者：
Baird, J. Kevin
中科院分区：
文献类型：
--
作者：
Elyazar, Iqbal R. F.;Hay, Simon I.;Baird, J. Kevin
印度尼西亚大约有2.3亿人口。该国也是20多种疟疾疟蚊媒介的所在地，这些疟蚊传播常规感染人类的所有四种疟原虫。在这个由数千个岛屿和独特栖息地组成的5000公里长的群岛上，感染风险的复杂马赛克严重挑战了控制疟疾的努力。社会、经济和政治因素助长了这些复杂性。本章考察了疟疾及其在印度尼西亚的控制，从荷兰东印度殖民地的疟疾学家最早的努力，到20世纪50年代的全球疟疾根除运动，1965年的政变后的骚乱，到20世纪80年代和90年代疟疾的全球复苏，最后到1998年苏哈托独裁政权倒台后的政府权力下放。我们详细介绍了重要的控制方法及其在支持它们的政治制度背景下的影响。我们研究了在多药耐药疟疾和综合疟疾控制管理项目能力大大削弱的当代分散化和民主化印度尼西亚疟疾控制的前景。
Approximately 230 million people live in Indonesia. The country is also home to over 20 anopheline vectors of malaria which transmit all four of the species of Plasmodium that routinely infect humans. A complex mosaic of risk of infection across this 5000-km-long archipelago of thousands of islands and distinctive habitats seriously challenges efforts to control malaria. Social, economic and political dimensions contribute to these complexities. This chapter examines malaria and its control in Indonesia, from the earliest efforts by malariologists of the colonial Netherlands East Indies, through the Global Malaria Eradication Campaign of the 1950s, the tumult following the coup d’état of 1965, the global resurgence of malaria through the 1980s and 1990s and finally through to the decentralization of government authority following the fall of the authoritarian Soeharto regime in 1998. We detail important methods of control and their impact in the context of the political systems that supported them. We examine prospects for malaria control in contemporary decentralized and democratized Indonesia with multidrug-resistant malaria and greatly diminished capacities for integrated malaria control management programs.