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通过对牛施用deltamethrin杀虫剂来控制巴基斯坦的疟疾:一个社区随机试验.

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  • 1HealthNet International, University Town, Peshawar, Pakistan. mark.rowland@lshtm.ac.uk

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概括
此摘要是机器生成的。

用杀虫剂治疗牲畜显著减少了南亚的疟疾发病率. 这种具有成本效益的方法为控制动物友好的载体蚊子提供了传统室内喷的有希望的替代方案.

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科学领域:

  • 医学昆虫学 医学昆虫学
  • 公共卫生 公共卫生
  • 控制载体传播疾病的控制

背景情况:

  • 室内残留喷,标准的疟疾控制,正在变得过于昂贵.
  • 南亚的载体蚊子主要以动物为食,这表明牲畜是替代目标.
  • 迫切需要新的,具有成本效益的疟疾控制战略.

研究的目的:

  • 为了研究用deltamethrin治疗家禽的疗效.
  • 为了确定对牲畜的德尔塔米特林应用是否可以减少蚊子种群.
  • 评估这种方法作为疟疾控制战略的潜力.

主要方法:

  • 巴基斯坦的六个阿富汗难民定居点被随机分配给治疗组.
  • 在疟疾传播季节 (1995-1997) 期间,牲畜通过海绵治疗得到了deltamethrin.
  • 通过被动病例检测和横截面调查监测疟疾发病率;还评估了蚊子种群.

主要成果:

  • 疟疾发病率下降了56%,对于Plasmodium falciparum和31%的P. vivax在牲畜处理的村庄.
  • 寄生虫的流行率显示了相似的减少;蚊子密度和阿诺菲莱斯·斯蒂芬西和A culicifacies的预期寿命减少.
  • 治疗牲畜的有效性与室内喷相似,但活动成本降低了80%.

结论:

  • 对牲畜的杀虫剂处理是一种高度有效的疟疾控制方法.
  • 这种方法对于南亚和类似地区来说是一个具有成本效益和有前途的替代方案.
  • 这一策略特别适用于主要疟疾载体是动物性.