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多部门综合措施控制虫媒传染病,特别关注登革热和住房问题。

Multisectoral approaches for the control of vector-borne diseases, with particular emphasis on dengue and housing.

出版信息

Trans R Soc Trop Med Hyg. 2019 Dec 1;113(12):823-828. doi: 10.1093/trstmh/trz020.

DOI:10.1093/trstmh/trz020
PMID:31034038
Abstract

The Sustainable Development Goals suggest an intersectoral approach for development and health, including for vector-borne diseases. Evidence-based policy recommendations exist for malaria and housing, but not for other, more underfunded, vector-borne diseases. This review aims to stimulate the process for developing policy recommendations for other vector-borne diseases and housing with the process as it was developed for dengue and Aedes control as an example and with suggestions for steps necessary for other vector-borne diseases. For dengue, some basic research on the efficacy of vector control in relation to housing exists, summary evidence highlights the lack of evidence and efficacy and policy recommendations remain difficult. For other vector-borne diseases, few studies have focused on protecting the house, combinations of effective interventions (e.g. intradomiciliary residual spraying, insecticide-treated materials and treatment of larval habitats with biological and chemical methods, which have proven to be effective) have not been studied and summary evidence is non-existent. In order to recommend vector control to protect the house against vector-borne diseases, basic research and summary evidence are needed, with an appropriate combination of the most efficacious interventions and linked to improvement of housing itself. Standards for such studies need to be developed.

摘要

可持续发展目标建议采取跨部门的方法来促进发展和卫生,包括控制虫媒传染病。已经有针对疟疾和住房的循证政策建议,但针对其他资金投入较少的虫媒传染病却没有。本综述旨在为其他虫媒传染病和住房制定政策建议的过程提供动力,以登革热和埃及伊蚊控制为例,并为其他虫媒传染病提出必要的步骤建议。对于登革热,已经有一些关于在住房方面开展病媒控制效果的基础研究,总结性证据突出表明缺乏证据和效果,政策建议仍然难以制定。对于其他虫媒传染病,很少有研究关注保护房屋,有效的干预措施组合(例如室内滞留喷洒、经杀虫剂处理的材料以及用生物和化学方法处理幼虫栖息地,这些方法已被证明是有效的)尚未得到研究,也没有总结性证据。为了建议采用病媒控制来保护房屋免受虫媒传染病的侵害,需要开展基础研究和总结性证据,并将最有效的干预措施进行适当组合,并与住房本身的改善联系起来。需要制定此类研究的标准。

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