疟疾消除流行病学的变化:应对新挑战的新策略
Chris Cotter1, Hugh J W Sturrock, Michelle S Hsiang
1The Global Health Group, University of California, San Francisco, CA 94105, USA. cotterc@globalhealth.ucsf.edu
Lancet (London, England)
|April 19, 2013
概括
消除疟疾的努力已经改变了疾病模式,进口病例和特定的人口统计数据现在受到影响最大. 新的战略对于解决复杂的疟疾流行病学和继续取得进展至关重要.
科学领域:
- 全球健康 全球健康
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 消除疟疾的国家在2000-2010年间显著减少了疾病负担.
- 疟疾的流行病学在这些地区变得更加复杂.
研究的目的:
- 分析在接近消除的国家疟疾流行病学趋势的变化.
- 为开发新型疟疾控制和消除战略提供信息.
主要方法:
- 来自消除疟疾国家的流行病学数据的分析.
- 确定疟疾进口,致病原体 (如Plasmodium vivax) 和传播模式的转变.
主要成果:
- 疟疾越来越多地被进口,特别是撒哈拉以南非洲以外的Plasmodium vivax.
- 病例在地理上聚集在一起,人口统计学上集中在特定的亚群体中,通常是成年男性.
结论:
- 传统的疟疾控制干预措施可能对当前的流行病学模式不那么有效.
- 将消除策略与新方法相适应,对于疟疾根除的持续进展至关重要.
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