Laurens Matthew B
Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, USA.
Hum Vaccin Immunother. 2020 Mar 3;16(3):480-489. doi: 10.1080/21645515.2019.1669415. Epub 2019 Oct 22.
Malaria is an illness caused by parasites transmitted to humans by infected mosquitoes. Of the five species that infect humans, exacts the highest toll in terms of human morbidity and mortality, and therefore represents a major public health threat in endemic areas. Recent advances in control efforts have reduced malaria incidence and prevalence, including rapid diagnostic testing, highly effective artemisinin combination therapy, use of insecticide-treated bednets, and indoor residual spraying. But, reductions in numbers of cases have stalled over the last few years, and incidence may have increased. As this concerning trend calls for new tools to combat the disease, the RTS,S vaccine has arrived just in time. The vaccine was created in 1987 and began pilot implementation in endemic countries in 2019. This first-generation malaria vaccine demonstrates modest efficacy against malaria illness and holds promise as a public health tool, especially for children in high-transmission areas where mortality is high.
疟疾是一种由受感染蚊子传播给人类的寄生虫引起的疾病。在感染人类的五种疟原虫物种中,[此处缺失信息]在人类发病率和死亡率方面造成的损失最大,因此在流行地区构成了重大的公共卫生威胁。近年来,疟疾防控工作取得了进展,包括快速诊断检测、高效的青蒿素联合疗法、使用经杀虫剂处理的蚊帐以及室内滞留喷洒。但是,过去几年病例数的减少已经停滞,发病率可能有所上升。鉴于这一令人担忧的趋势需要新的工具来抗击这种疾病,RTS,S疫苗适时问世。该疫苗于1987年研制成功,并于2019年在流行国家开始试点实施。这种第一代疟疾疫苗对疟疾显示出一定的疗效,有望成为一种公共卫生工具,特别是对于高传播地区死亡率高的儿童。