Malaria Elimination Initiative at the University of California, San Francisco, San Francisco, California.
Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Am J Trop Med Hyg. 2018 Jul;99(1):17-23. doi: 10.4269/ajtmh.17-0869. Epub 2018 May 10.
Important strides have been made within the past decade toward malaria elimination in many regions, and with this progress, the feasibility of eradication is once again under discussion. If the ambitious goal of eradication is to be achieved by 2040, all species of infecting humans will need to be targeted with evidence-based and concerted interventions. In this perspective, the potential barriers to achieving global malaria elimination are discussed with respect to the related diversities in host, parasite, and vector populations. We argue that control strategies need to be reorientated from a sequential attack on each species, dominated by to one that targets all species in parallel. A set of research themes is proposed to mitigate the potential setbacks on the pathway to a malaria-free world.
在过去十年中,许多地区在消除疟疾方面取得了重要进展,随着这一进展,消除疟疾的可行性再次受到讨论。如果要在 2040 年实现这一雄心勃勃的目标,就需要用基于证据的协同干预措施来针对所有感染人类的疟原虫物种。在这种观点下,本文讨论了在宿主、寄生虫和蚊子种群相关多样性的背景下,实现全球消除疟疾的潜在障碍。我们认为,控制策略需要从以 为主导的针对每个物种的顺序攻击重新定向,以一种平行针对所有物种的方式。本文提出了一系列研究主题,以减轻在迈向无疟疾世界的道路上可能出现的挫折。