Leonard and Jayne Abess Center for Ecosystem Science and Policy, University of Miami, Coral Gables, FL 33146, USA.
Trends Parasitol. 2013 Mar;29(3):104-9. doi: 10.1016/j.pt.2013.01.002. Epub 2013 Feb 1.
Roll Back Malaria's ambitious goals for global malaria reduction by 2015 represent a dilemma for National Malaria Control Programs (NMCPs) that are still far from malaria elimination. Current vector control efforts by NMCPs generally fall short of their potential, leaving many NMCPs wondering how much vector control it will take to achieve malaria elimination. We believe the answer is detailed in the relationships between the entomological inoculation rate (EIR) and four epidemiological measures of malaria in humans. To achieve adequate vector control, NMCPs must evaluate EIRs to identify problematic foci of transmission and reduce annual EIRs to less than one infectious bite per person.
全球疟疾减少 2015 年的宏伟目标使国家疟疾控制规划(NMCP)陷入困境,因为 NMCP 离消除疟疾还很遥远。目前 NMCP 的病媒控制工作通常未能发挥其潜力,这使得许多 NMCP 想知道要进行多少病媒控制才能实现消除疟疾。我们认为答案在昆虫接种率(EIR)与人类疟疾的四个流行病学指标之间的关系中详细说明。为了实现充分的病媒控制,NMCP 必须评估 EIR,以确定有问题的传播焦点,并将年 EIR 降低到每人每年不到一次感染性叮咬。