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Changing malaria epidemiology and diagnostic criteria for Plasmodium falciparum clinical malaria.疟疾流行病学变化和恶性疟原虫临床疟疾的诊断标准。
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Social capital and health in malaria-prevalent areas of the Solomon Islands.
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Exploring provider and community responses to the new malaria diagnostic and treatment regime in Solomon Islands.探索所罗门群岛新疟疾诊断和治疗方案中医疗服务提供者和社区的应对措施。
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2008年至2013年期间，所罗门群岛马莱塔岛一个偏远地区的疟疾发病率显著下降。

A marked decline in the incidence of malaria in a remote region of Malaita, Solomon Islands, 2008 to 2013.

作者信息

Oloifana-Polosovai Hellen, Gwala John, Harrington Humpress, Massey Peter D, Ribeyro Elmer, Flores Angelica, Speare Christopher, McBride Edwin, MacLaren David, Speare Rick

机构信息

Atoifi Adventist Hospital, Atoifi, Malaita, Solomon Islands .

Health Protection, Hunter New England Population Health, Tamworth, Australia .

出版信息

Western Pac Surveill Response J. 2014 Sep 30;5(3):30-9. doi: 10.5365/WPSAR.2014.5.3.002. eCollection 2014.

DOI:10.5365/WPSAR.2014.5.3.002
PMID:25320674
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4197191/
Abstract

SETTING

Atoifi Adventist Hospital (AAH), Solomon Islands, the only hospital in the East Kwaio region.

OBJECTIVE

To use routine surveillance data to assess the trends in malaria from 2008 to 2013.

DESIGN

Descriptive study of records from (1) AAH laboratory malaria records; (2) admissions to AAH for malaria; and (3) malaria treatments from outpatient records.

RESULTS

AAH examined 35 608 blood films and diagnosed malaria in 4443 samples comprised of 2667 Plasmodium falciparum (Pf) and 1776 Plasmodium vivax (Pv). Between 2008 and 2013 the total number of malaria cases detected annually decreased by 86.5%, Pf by 96.7% and Pv by 65.3%. The ratio of Pf to Pv reversed in 2010 from 2.06 in 2008 to 0.19 in 2013. For 2013, Pf showed a seasonal pattern with no cases diagnosed in four months. From 2008 to 2013 admissions in AAH for malaria declined by 90.8%, and malaria mortality fell from 54 per 100 000 to zero. The annual parasite index (API) for 2008 and 2013 was 195 and 24, respectively. Village API has identified a group of villages with higher malaria incidence rates.

CONCLUSION

The decline in malaria cases in the AAH catchment area has been spectacular, particularly for Pf. This was supported by three sources of hospital surveillance data (laboratory, admissions and treatment records). The decline was associated with the use of artemisinin-based combined therapy and improved vertical social capital between the AAH and the local communities. Calculating village-specific API has highlighted which villages need to be targeted by the AAH malaria control team.

摘要

研究背景

所罗门群岛阿托伊菲基督复临安息日会医院（AAH），是东夸伊奥地区唯一的医院。

研究目的

利用常规监测数据评估2008年至2013年疟疾流行趋势。

研究设计

对以下三方面记录进行描述性研究：（1）AAH实验室疟疾记录；（2）因疟疾入住AAH的病例；（3）门诊记录中的疟疾治疗情况。

研究结果

AAH共检查了35608份血涂片，确诊疟疾4443例，其中包括2667例恶性疟原虫（Pf）和1776例间日疟原虫（Pv）。2008年至2013年，每年检测到的疟疾病例总数下降了86.5%，Pf下降了96.7%，Pv下降了65.3%。Pf与Pv的比例在2010年发生逆转，从2008年的2.06降至2013年的0.19。2013年，Pf呈现季节性模式，有四个月未诊断出病例。2008年至2013年，AAH因疟疾的住院人数下降了90.8%，疟疾死亡率从每10万人54例降至零。2008年和2013年的年度寄生虫指数（API）分别为195和24。村庄API确定了一组疟疾发病率较高的村庄。

研究结论

AAH服务区域内疟疾病例的下降非常显著，尤其是Pf。这得到了医院监测数据的三个来源（实验室、住院和治疗记录）的支持。下降与基于青蒿素的联合疗法的使用以及AAH与当地社区之间纵向社会资本的改善有关。计算特定村庄的API突出了AAH疟疾控制团队需要针对哪些村庄。