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印度县级疟疾媒介的绘制:变化的情景和发现的差距。

Mapping of Malaria Vectors at District Level in India: Changing Scenario and Identified Gaps.

机构信息

Environmental Epidemiology Division, National Institute of Malaria Research (ICMR), Dwarka, New Delhi, India .

出版信息

Vector Borne Zoonotic Dis. 2017 Feb;17(2):91-98. doi: 10.1089/vbz.2016.2018. Epub 2017 Jan 4.

Abstract

Malaria is one of the six major vector-borne diseases in India, the endemicity of which changes with changes in ecological, climatic, and sociodevelopmental conditions. The anopheline vectors are greatly affected by ecological conditions such as deforestation, urbanization, climate and lifestyle. Despite the advent of tools such as Geographic Information System (GIS), the updated information on the distribution of anopheline vectors of malaria is not available. In India, the plan for vector control is organized at subcentral level but information about vectors is unavailable even at the district level. Therefore, a systematic presentation of vector distribution has been made to provide maps in respect of major vector species. A search of the literature for major vector species, that is, Anopheles culicifacies, Anopheles fluviatilis, Anopheles stephensi, Anopheles minimus, and Anopheles dirus sensu lato, since 1927 till 2015 was carried out. Data have been presented as present, absent, and no information about vector species during pre-eradication (1927-1958), posteradication (1959-1999), and current scenario (2000-2015). Vectors' distribution and malaria endemicity were mapped using Arc GIS. Of 630 districts of India, major vectors An. culicifacies, An. fluviatilis, and An. stephensi were present in 420, 241, and 243 districts, respectively. In 183 districts, there is no information on any major malaria vector species although 27 of them from the states of Arunachal Pradesh, Jharkhand, Manipur, and Mizoram are highly endemic for malaria, having incidences of 2-40 cases/1000/year. The identified gaps in vector distribution, particularly in malaria endemic areas, necessitate further surveys so as to generate the missing information.

摘要

疟疾是印度六大媒介传播疾病之一,其地方性随着生态、气候和社会发展条件的变化而变化。按蚊媒介受森林砍伐、城市化、气候和生活方式等生态条件的影响很大。尽管出现了地理信息系统(GIS)等工具,但疟疾按蚊媒介的最新分布信息仍然无法获得。在印度,媒介控制计划是在次中心一级组织的,但即使在地区一级,也没有关于媒介的信息。因此,对媒介的分布进行了系统的介绍,并提供了主要媒介物种的地图。自 1927 年至 2015 年,对主要媒介物种(即库蚊、三带喙库蚊、致倦库蚊、微小按蚊和按蚊 sensu lato)的文献进行了搜索。介绍了媒介物种在消灭前(1927-1958 年)、消灭后(1959-1999 年)和当前情况(2000-2015 年)的存在、不存在和无信息情况。利用 Arc GIS 绘制了媒介分布和疟疾地方性地图。在印度的 630 个县中,主要媒介库蚊、三带喙库蚊和致倦库蚊分别存在于 420、241 和 243 个县。在 183 个县中,尽管有 27 个县(来自阿鲁纳恰尔邦、恰蒂斯加尔邦、曼尼普尔邦和米佐拉姆邦)疟疾高度流行,发病率为 2-40 例/1000/年,但没有任何主要疟疾媒介物种的信息。在媒介分布方面,特别是在疟疾流行地区,发现存在差距,需要进一步调查,以生成缺失信息。

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