Hii J L, Kan S, Vun Y S, Chin K F, Tambakau S, Chan M K, Lye M S, Mak J W, Cochrane A H
Department of Medical Services, Sabah, Malaysia.
Ann Trop Med Parasitol. 1988 Feb;82(1):91-101. doi: 10.1080/00034983.1988.11812214.
Holoendemic malaria transmission in two small isolated forest communities and a coastal village was studied by (1) all night human bait collections of Anopheles species from inside and outside houses and (2) buffalo-biting and CDC light-trapping catches during March and November 1984. During the same period thick and thin blood films were collected from the human population, and spleen rates were determined in children from two to nine years of age. Using both the immunoradiometric assay (IRMA) and the dissection technique, more sporozoite-positive infections were detected in An. balabacensis and An. flavirostris in November than in March. IRMA confirmed the presence of Plasmodium falciparum sporozoites. An average of 76.2% of the An. balabacensis population lived long enough to have reached a point where infectivity with P. falciparum was possible in November. Although fewer than five adult females bit humans per night at any time, a resident could theoretically have received more than 160 infective bites in one year. A high frequency of feeding on humans, coupled with increased anopheline life expectancy, contributed to high estimates of falciparum malaria vectorial capacity (number of infections distributed per case per day); for An. balabacensis (1.44-7.44 in March and 9.97-19.7 in November) and for An. flavirostris (0.19-5.14 in March and 6.27-15.8 in November). These high values may explain the increased malaria parasite rates obtained from at least two forest communities. Correlation between actual and calculated rates of gametocytaemia was poorest in Kapitangan due to inadequate sampling of the human population. In Banggi island, malaria is stable and holoendemic, and the population enjoys a high degree of immunity.
(1)1984年3月和11月,整夜在房屋内外以人作诱饵采集按蚊种类;(2)水牛叮咬和疾控中心诱蚊灯诱捕。同一时期,从人群中采集了厚薄血膜,并测定了2至9岁儿童的脾肿大率。使用免疫放射分析(IRMA)和解剖技术,11月在巴拉望按蚊和黄喙按蚊中检测到的子孢子阳性感染比3月更多。IRMA证实了恶性疟原虫子孢子的存在。11月,平均76.2%的巴拉望按蚊种群存活时间足够长,达到了可能感染恶性疟原虫的阶段。尽管任何时候每晚叮咬人类的成年雌蚊少于五只,但理论上居民一年内可能会接受超过160次感染性叮咬。频繁叮咬人类,再加上按蚊预期寿命增加,导致对恶性疟疾病媒能量(每天每病例传播的感染数)的估计值较高;巴拉望按蚊(3月为1.44 - 7.44,11月为9.97 - 19.7)和黄喙按蚊(3月为0.19 - 5.14,11月为6.27 - 15.8)。这些高值可能解释了至少两个森林社区疟疾寄生虫率上升的原因。由于对人群抽样不足,卡皮坦甘实际和计算的配子体血症率之间的相关性最差。在邦吉岛,疟疾呈稳定的全地方流行状态,人群具有高度免疫力。