Vector Control Specialist/Consultant, Kamwala South, Lusaka, Zambia.
World Health Organization, Regional Office for Africa, Brazzaville, Congo.
Trends Parasitol. 2017 Jan;33(1):30-41. doi: 10.1016/j.pt.2016.09.006. Epub 2016 Oct 4.
The increasing global threat of emerging and re-emerging vector-borne diseases (VBDs) poses a serious health problem. The World Health Organization (WHO) recommends integrated vector management (IVM) strategy for combating VBD transmission. An IVM approach requires entomological knowledge, technical and infrastructure capacity, and systems facilitating stakeholder collaboration. In sub-Saharan Africa, successful operational IVM experience comes from relatively few countries. This article provides an update on the extent to which IVM is official national policy, the degree of IVM implementation, the level of compliance with WHO guidelines, and concordance in the understanding of IVM, and it assesses the operational impact of IVM. The future outlook encompasses rational and sustainable use of effective vector control tools and inherent improved return for investment for disease vector control.
不断增加的新兴和再现媒介传播疾病(VBD)的全球威胁构成了严重的健康问题。世界卫生组织(WHO)建议采用综合媒介管理(IVM)策略来防治 VBD 传播。IVM 方法需要掌握昆虫学知识、技术和基础设施能力,以及有利于利益相关者合作的系统。在撒哈拉以南非洲,成功实施 IVM 的经验来自相对较少的国家。本文介绍了 IVM 在多大程度上成为国家政策、IVM 的实施程度、遵守世卫组织指南的程度以及对 IVM 的理解一致性,并评估了 IVM 的业务影响。未来展望包括合理和可持续地使用有效的媒介控制工具,以及固有地提高投资回报以控制病媒。