Review of Issues on Residual Malaria Transmission.

Review of Issues on Residual Malaria Transmission.
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疟疾残留传播问题综述。

DOI:
10.1093/infdis/jiab084
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发表时间:
2021-04-27
期刊:
The Journal of infectious diseases
影响因子:
--
通讯作者:
Manguin S
Manguin S
中科院分区:
其他
文献类型:
--
作者:
Carnevale P;Manguin S

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尽管有精心设计和实施的病媒控制方案,但残余疟疾传播是疟原虫的实际维持接种,这是消除疟疾的重大问题。在几种可能的情况下会发生残余疟疾传播,其中包括存在嗜外病媒物种,如大劣按蚊,或室内和室外叮咬病媒,如尼里按蚊,或特定行为,如在室内以人为食,然后在同一天晚上休息或离开家(如莫氏按蚊)或室内使用的杀虫剂引起的行为变化,如众所周知的氯菊酯处理过的蚊帐的威慑作用或滴滴涕的刺激作用。杀虫剂的使用可能会改变当地按蚊种群的组成,如A。arabiensis代替A. gambiae,A. aquasalis代替A. darlingi,或A. harrisoni取代A.越南的minimus行为的变化,如叮咬活动早于通常的预防,例如,按蚊funestus后,大规模分布的长效杀虫蚊帐,或杀虫剂的耐药性,特别是目前传播的拟除虫菊酯耐药性,可能会妨碍传统的拟除虫菊酯处理的长效杀虫蚊帐的效力和保持传播。这些问题必须在每一种情况下都有很好的记录,以制定、实施、监测和评估有针对性的病媒控制方案,同时记住,这些方案必须被视为具有若干良好和适当协调的方法的综合方案,将昆虫学方法与寄生虫学方法、临床方法和社会方法与分析相结合。因此,必须设计一个成功的综合病媒控制方案,以减少疟疾的传播和发病率,降低发病率和总体死亡率。
Residual malaria transmission is the actual maintained inoculation of Plasmodium, in spite of a well-designed and implemented vector control programs, and is of great concern for malaria elimination. Residual malaria transmission occurs under several possible circumstances, among which the presence of exophilic vector species, such as Anopheles dirus, or indoor- and outdoor-biting vectors, such as Anopheles nili, or specific behavior, such as feeding on humans indoors, then resting or leaving the house the same night (such as Anopheles moucheti) or also changes in behavior induced by insecticides applied inside houses, such as the well-known deterrent effect of permethrin-treated nets or the irritant effect of DDT. The use of insecticides may change the composition of local Anopheles populations, such as A. arabiensis taking up the place of A. gambiae in Senegal, A. aquasalis replacing A. darlingi in Guyana, or A. harrisoni superseding A. minimus in Vietnam. The change in behavior, such as biting activity earlier than usually reported—for example, Anopheles funestus after a large-scale distribution of long-lasting insecticidal nets—or insecticide resistance, in particular the current spread of pyrethroid resistance, could hamper the efficacy of classic pyrethroid-treated long-lasting insecticidal nets and maintained transmission. These issues must be well documented in every situation to elaborate, implement, monitor, and evaluate tailored vector control programs, keeping in mind that they must be conceived as integrated programs with several well and appropriately coordinated approaches, combining entomological but also parasitological, clinical, and social methods and analyses. A successful integrated vector control program must then be designed to reduce transmission and incidence rates of malaria morbidity and overall mortality.
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发表时间: 2004-09-01
影响因子: 2.1
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影响因子: 3.3
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