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疟疾传播媒介的人类血液指数与流行病学评估的关系

THE HUMAN BLOOD INDEX OF MALARIA VECTORS IN RELATION TO EPIDEMIOLOGICAL ASSESSMENT.

作者信息

GARRETT-JONES C

出版信息

Bull World Health Organ. 1964;30(2):241-61.

Abstract

The human blood index, or estimated proportion of the blood meals of a mosquito population obtained from man, is provisionally assessed for certain anophelines from blood-meal samples collected during the period 1959-62 and subjected to precipitin testing at the Lister Institute. In malaria eradication programmes this index is relevant to epidemiological assessment and to the modification of measures to interrupt transmission, since a mosquito's vectorial capacity and the malaria reproduction rate both vary as the square of the human blood index.There are serious difficulties in achieving representative sampling for this index and in interpreting the index obtained. These are discussed in some detail. In practice, the human blood index is often best estimated by applying the unweighted mean of a part-sample collected from human dwellings and one from other types of resting-place.Applying this calculation to the samples under review, it appears that DDT exerts a moderate, and dieldrin a more pronounced, impact on the human blood index of Anopheles gambiae and A. funestus; such an effect, indeed, may be general in house-visiting anophelines. Some 18 anopheline species are tentatively graded as having low, medium or high natural human blood indices. Regular and careful sampling, combined with recording of all relevant information, is recommended in view of the epidemiological and operational importance of the human blood index in assessment of eradication programmes.

摘要

根据1959 - 1962年期间采集的血餐样本,并在李斯特研究所进行沉淀素检测,对某些按蚊的人类血液指数(即从人类获取的蚊虫种群血餐的估计比例)进行了初步评估。在疟疾根除计划中,该指数与流行病学评估以及调整阻断传播的措施相关,因为蚊虫的传播能力和疟疾繁殖率均随人类血液指数的平方而变化。在获取该指数的代表性样本以及解读所获指数方面存在严重困难。本文对此进行了较为详细的讨论。实际上,人类血液指数通常最好通过对从人类住所采集的部分样本和从其他类型栖息地采集的部分样本应用未加权平均值来估算。将此计算方法应用于所审查的样本,似乎滴滴涕对冈比亚按蚊和嗜人按蚊的人类血液指数有中等影响,而狄氏剂的影响更为显著;事实上,这种影响在入室按蚊中可能普遍存在。约18种按蚊被初步划分为具有低、中、高自然人类血液指数。鉴于人类血液指数在根除计划评估中的流行病学和操作重要性,建议进行定期且仔细的采样,并记录所有相关信息。

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