Vector Control Reference Laboratory, Centre for Opportunistic, Tropical and Hospital Infections, National Institute for Communicable Diseases, Johannesburg, South Africa; Wits Research Institute for Malaria, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
S Afr Med J. 2013 Aug 29;103(10 Pt 2):784-8. doi: 10.7196/samj.7447.
Malaria vector control is primarily insecticide based and relies on indoor residual spraying (IRS) and the distribution of long-lasting insecticide-treated bednets (LLINs). These interventions have generally proved effective where appropriately implemented. However, the increasing incidence of insecticide resistance in target vector populations can, and in several cases already has, undermined the effectiveness of IRS and LLINs. Today there are very few localities on the African continent where populations of vector mosquitoes are still susceptible to the approved classes of insecticides. If elimination is to be achieved, SA needs to invest more resources into malaria control.
疟疾媒介控制主要基于杀虫剂,依赖于室内滞留喷洒(IRS)和长效驱虫蚊帐(LLIN)的分发。这些干预措施在适当实施的情况下通常被证明是有效的。然而,目标媒介种群中杀虫剂抗性的不断增加确实已经在某些情况下削弱了 IRS 和 LLIN 的有效性。如今,在非洲大陆,只有极少数地方的蚊虫种群仍然对批准的杀虫剂类别敏感。如果要实现消除,南非需要投入更多资源来进行疟疾控制。