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疟疾疫苗:利弊

Malaria vaccine: the pros and cons.

作者信息

Saleh J A, Yusuph H, Zailani S B, Aji B

机构信息

Galbose Hospital, Jimeta-Yola.

出版信息

Niger J Med. 2010 Jan-Mar;19(1):8-13. doi: 10.4314/njm.v19i1.52464.

Abstract

BACKGROUND

Malaria is an important parasitic disease of humans caused by infection with a parasite of the genus Polasmodium and transmitted by female anopheles. Infection caused by P. falciparum is the most serious of all the other species (P. ovale, P. vivax and P. malariae) especially in terms of morbidity and mortality hence the reason why most of the research has been focussed on this species. The disease affects up to about 40 per cent of the world's population with around 300-500 million people currently infected and mainly in the tropics. It has a high morbidity and mortality especially in resource-poor tropical and subtropical regions with an economic fall of about US$ 12 billion annually in Africa alone.

METHOD

relevant literatures were reviewed from medical journals, library search and internet source. Other relevant websites like PATH, Malaria Vaccine Initiative and Global Fund were also visited to source for information. The key words employed were: malaria, vaccine, anopheles mosquito, insecticide treated bed-nets, pyrethroids and Plasmodium.

RESULTS

several studies have underscored the need to develop an effective human malaria vaccine for the control and possible eradication of malaria across the globe with the view to reduce the morbidity and mortality associated with the disease, improve on the social and economic losses and also protect those at risk.

CONCLUSION

It is very obvious that the need for effective human malaria vaccine is not only to serve those living in malaria endemic regions but also the non-immune travellers especially those travelling to malaria endemic areas; this would offer cost effective means of preventing the disease, reducing the morbidity and mortality associated with it in addition to closing the gap left by other control measures. It is very obvious that there is no single control measure known to be effective in the control of malaria, hence the need for combination of more than one method with the aim of achieving synergy in the total control and possible eradication of the disease. It suffices to say that despite the use of combination of more than one method (e.g., drugs treating patients, breaking the life cycle of the vector mosquito using larvicides, clearing swamps and other mosquito breeding sites), no much progress was made towards achieving this goal, hence the renewed interest especially with regards to vaccine development.

摘要

背景

疟疾是一种重要的人类寄生虫病,由疟原虫属寄生虫感染引起,通过雌性按蚊传播。恶性疟原虫引起的感染在所有其他疟原虫种类(卵形疟原虫、间日疟原虫和三日疟原虫)中最为严重,尤其是在发病率和死亡率方面,因此大多数研究都集中在该种类上。该疾病影响着全球约40%的人口,目前约有3亿至5亿人感染,主要分布在热带地区。它具有很高的发病率和死亡率,尤其是在资源匮乏的热带和亚热带地区,仅非洲每年的经济损失就约为120亿美元。

方法

从医学期刊、图书馆检索和网络资源中查阅相关文献。还访问了其他相关网站,如PATH、疟疾疫苗倡议组织和全球基金,以获取信息。使用的关键词有:疟疾、疫苗、按蚊、经杀虫剂处理的蚊帐、拟除虫菊酯和疟原虫。

结果

多项研究强调,需要开发一种有效的人类疟疾疫苗,以在全球范围内控制并可能根除疟疾,从而降低与该疾病相关的发病率和死亡率,改善社会和经济损失,并保护高危人群。

结论

很明显,有效的人类疟疾疫苗不仅要为生活在疟疾流行地区的人服务,也要为非免疫旅行者,尤其是前往疟疾流行地区的旅行者服务;这将提供具有成本效益的预防疾病手段,降低与之相关的发病率和死亡率,此外还能弥补其他控制措施留下的空白。很明显,目前已知没有单一的控制措施能有效控制疟疾,因此需要结合多种方法,以期在全面控制并可能根除该疾病方面实现协同效应。可以说,尽管使用了多种方法的组合(例如,治疗患者的药物、使用杀幼虫剂破坏媒介蚊子的生命周期、清理沼泽和其他蚊子繁殖地),但在实现这一目标方面进展甚微,因此人们重新对疫苗研发产生兴趣。

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