Department of Community Medicine; Pt. B.D. Sharma PGIMS; Rohtak, Haryana India.
Hum Vaccin Immunother. 2013 Jun;9(6):1268-71. doi: 10.4161/hv.23950. Epub 2013 Feb 12.
Malaria is a major public health problem, afflicting 36% of the world's population. The World Health Organization (WHO) has estimated that there were 216 million cases of malaria in 2010, and ~655,000 people died from the disease (2000 per day), many under age five. Yet the disease, a killer for centuries, remains endemic in many poor nations, particularly in Africa, where it is blamed for retarding economic growth. India contributes ~70% of the 2.5 million reported cases in Southeast Asia. Malaria is also an important threat to travelers to the tropics, causing thousands of cases of illness and occasional deaths. The 5 Plasmodium species known to cause malaria are P. falciparum, P. vivax, P. ovale, P. malariae and P. knowlesi. Most cases of malaria are uncomplicated, but some can quickly turn into severe, often fatal, episodes in vulnerable individuals if not promptly diagnosed and effectively treated. Malaria vaccines have been an area of intensive research, but there is no effective vaccine. Vaccines are among the most cost-effective tools for public health; they have historically contributed to a reduction in the spread and burden of infectious diseases. Many antigens present throughout the parasite life cycle that could be vaccine targets. More than 30 of these are being researched by teams worldwide in the hope of identifying a combination that can elicit protective immunity. Most vaccine research has focused on the P. falciparum strain due to its high mortality and the ease of conducting in vitro and in vivo studies. DNA-based vaccines are a new technology that may hold hope for an effective malaria vaccine.
疟疾是一个主要的公共卫生问题,影响了全球约 36%的人口。世界卫生组织(WHO)估计,2010 年有 2.16 亿疟疾病例,约有 65.5 万人死于该疾病(每天约 2000 人),其中许多人年龄在五岁以下。然而,这种几个世纪以来的致命疾病在许多贫穷国家仍然流行,特别是在非洲,疟疾被认为是经济增长的障碍。印度在东南亚报告的 250 万例病例中占了约 70%。疟疾也是热带旅行者的一个重要威胁,导致数千例疾病和偶尔死亡。已知引起疟疾的 5 种疟原虫是疟原虫、疟原虫、疟原虫、疟原虫和疟原虫。大多数疟疾病例并不复杂,但在脆弱个体中,如果不能及时诊断和有效治疗,有些可能迅速发展为严重、往往致命的发作。疟疾疫苗一直是密集研究的领域,但目前还没有有效的疫苗。疫苗是公共卫生最具成本效益的工具之一;它们在历史上有助于减少传染病的传播和负担。寄生虫生命周期中存在许多可以作为疫苗靶点的抗原。全世界有 30 多个团队正在研究这些抗原,希望能确定一种能引起保护性免疫的组合。由于疟原虫死亡率高,以及在体外和体内进行研究的容易性,大多数疫苗研究都集中在疟原虫上。基于 DNA 的疫苗是一种新技术,可能为有效的疟疾疫苗带来希望。