Guerin Philippe J, Olliaro Piero, Nosten Francois, Druilhe Pierre, Laxminarayan Ramanan, Binka Fred, Kilama Wen L, Ford Nathan, White Nicholas J
Norwegian Institute of Public Health, Norway.
Lancet Infect Dis. 2002 Sep;2(9):564-73. doi: 10.1016/s1473-3099(02)00372-9.
Rolling back malaria is possible. Tools are available but they are not used. Several countries deploy, as their national malaria control treatment policy, drugs that are no longer effective. New and innovative methods of vector control, diagnosis, and treatment should be developed, and work towards development of new drugs and a vaccine should receive much greater support. But the pressing need, in the face of increasing global mortality and general lack of progress in malaria control, is research into the best methods of deploying and using existing approaches, particularly insecticide-treated mosquito nets, rapid methods of diagnosis, and artemisinin-based combination treatments. Evidence on these approaches should provide national governments and international donors with the cost-benefit information that would justify much-needed increases in global support for appropriate and effective malaria control.
遏制疟疾是有可能的。相关工具已经具备，但未得到使用。一些国家将不再有效的药物作为其国家疟疾控制治疗政策来部署。应开发新的、创新性的病媒控制、诊断和治疗方法，并且致力于新药和疫苗研发的工作应获得更多支持。然而，面对全球死亡率上升以及疟疾控制普遍缺乏进展的情况，当务之急是研究部署和使用现有方法的最佳方式，特别是经杀虫剂处理的蚊帐、快速诊断方法以及以青蒿素为基础的联合治疗。关于这些方法的证据应向各国政府和国际捐助方提供成本效益信息，从而证明全球急需增加对适当且有效的疟疾控制的支持是合理的。
