Unit of Medical Entomology & Vector Control, Department of Environmental Health Science, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia.
Clin Microbiol Infect. 2011 Nov;17(11):1608-16. doi: 10.1111/j.1469-0691.2011.03664.x.
Over many decades, malaria elimination has been considered to be one of the most ambitious goals of the international community. Vector control is a cornerstone in malaria control, owing to the lack of reliable vaccines, the emergence of drug resistance, and unaffordable potent antimalarials. In the recent past, a few countries have achieved malaria elimination by employing existing front-line vector control interventions and active case management. However, many challenges lie ahead on the long road to meaningful accomplishment, and the following issues must therefore be adequately addressed in malaria-prone settings in order to achieve our target of 100% worldwide malaria elimination and eventual eradication: (i) consistent administration of integrated vector management; (ii) identification of innovative user and environment-friendly alternative technologies and delivery systems; (iii) exploration and development of novel and powerful contextual community-based interventions; and (iv) improvement of the efficiency and efficacy of existing interventions and their combinations, such as vector control, diagnosis, treatment, vaccines, biological control of vectors, environmental management, and surveillance. I strongly believe that we are moving in the right direction, along with partnership-wide support, towards the enviable milestone of malaria elimination by employing vector control as a potential tool.
几十年来，消除疟疾一直被认为是国际社会最具雄心的目标之一。由于缺乏可靠的疫苗、药物耐药性的出现以及负担不起的强效抗疟药物，病媒控制是疟疾控制的基石。最近，一些国家通过采用现有的一线病媒控制干预措施和主动病例管理，实现了消除疟疾。然而，在实现有意义的成就的漫长道路上，仍面临许多挑战，因此，在疟疾流行地区，必须充分解决以下问题，以实现我们 100%全球消除疟疾和最终根除疟疾的目标：（i）持续实施综合病媒管理；（ii）确定创新的用户友好和环境友好的替代技术和输送系统；（iii）探索和开发新的和强大的基于社区的背景干预措施；（iv）提高现有干预措施及其组合的效率和效果，例如病媒控制、诊断、治疗、疫苗、病媒生物的生物控制、环境管理和监测。我坚信，在全伙伴关系的支持下，我们正朝着通过利用病媒控制作为一种潜在工具来实现消除疟疾这一令人羡慕的里程碑迈进。
