Julvez J, Blanchy S
Bull Soc Pathol Exot Filiales. 1988;81(5):847-53.
Located on the maritime road to India, important harbour during slavery period, Comoro Archipelago was therefore free of malaria in the XVIIth century in spite of the presence of infected persons. In the XIXth century, malaria became endemic in Mayotte, Mohéli and Anjouan but only at the beginning of the XXth century in Grande Comore. The origin of vectors and main parasite, P. falciparum, are african. After quite a "natural" evolution, the situation is the same in these islands (continual high transmission) except Mayotte where a malaria programme is performed since 1976. But the historical differences, island by island, in the outbreak of malaria suggest various ecological balance which would be underlined by antimalarial activities.
科摩罗群岛位于通往印度的海上要道，在奴隶制时期是重要港口，因此在17世纪，尽管有感染者存在，但该群岛没有疟疾。在19世纪，马约特岛、莫埃利岛和昂儒昂岛疟疾成为地方病，但直到20世纪初大科摩罗岛才出现这种情况。病媒和主要寄生虫恶性疟原虫起源于非洲。经过相当“自然”的演变，除了自1976年以来一直在开展疟疾防治项目的马约特岛外，这些岛屿的情况相同（持续高传播率）。但是，各岛屿疟疾爆发的历史差异表明存在各种生态平衡，抗疟活动将突出这些平衡。
