疟疾
Elizabeth A Ashley1, Aung Pyae Phyo2, Charles J Woodrow3
1Myanmar-Oxford Clinical Research Unit, Yangon, Myanmar; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
尽管使用床和组合疗法控制疟疾取得了进展,但仍存在重大挑战. 抗药性和增加资源的需求阻碍了全球消除疟疾的努力.
科学领域:
- 全球健康
- 传染性疾病
- 寄生虫学
背景情况:
- 疟疾在20世纪末出现了复苏,
- 目前的防治工具,如用杀虫剂处理的防护网和基于素的组合疗法, 已经减少了全球的负担, 但仍然很大.
- 2016年,全球疟疾死亡人数超过445,000人,感染人数超过2亿人.
研究的目的:
- 审查疟疾控制和消除工作的现状.
- 确定疟疾的持续挑战和未来方向.
主要方法:
- 对全球疟疾最新统计和趋势的回顾.
- 分析目前的疟疾控制策略及其有效性.
- 讨论包括药物和杀虫剂耐药性和疫苗开发在内的挑战.
主要成果:
- 全球疟疾负担显著降低,但仍然很高,2016年有超过2亿例病例和445,000例死亡.
- 个体患者的治疗陷包括晚诊和过度的液体复苏.
- 寄生虫复发可能是由于寄生虫密度高,免疫力低或药物水平低于最佳水平,即使没有药物耐药性.
结论:
- 消除疟疾仍然是一个关键的政策目标,
- 目前的疟疾疫苗没有显示出对人口的长期益处.
- 为了进一步降低疟疾负担,需要增加资源,区域合作和社会承诺.
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