Indian Council of Medical Research (ICMR), Ramalingaswami Bhavan, New Delhi, India.
ICMR-National Institute of Malaria Research (NIMR), Sector-8, Dwarka, Delhi, India.
Malar J. 2019 Dec 3;18(1):396. doi: 10.1186/s12936-019-3011-8.
India has committed to eliminate malaria by 2030. The national framework for malaria elimination released by the Government of India plans to achieve this goal through strategic planning in a phased manner. Since vector control is a major component of disease management and vector elimination, it requires a thorough understanding of the biology and bionomics of malaria vectors exhibiting definite distribution patterns in diverse ecosystems in the country. Although a wealth of information is available on these aspects, lesser-known data are on biting time and rhythm, and the magnitude of outdoor transmission by the vectors which are crucial for effective implementation of the key vector control interventions. Most of the data available for the vector species are at sensu lato level, while the major vectors are species complexes and their members distinctly differ in biological characters. Furthermore, the persistent use of insecticides in indoor residual spray and long-lasting insecticidal nets has resulted in widespread resistance in vectors and changes in their behaviour. In this document, challenges in vector control in the Indian context have been identified and possible solutions to overcome the problem are suggested. Adequate addressing of the issues raised would greatly help make a deep dent in malaria transmission and consequently result in disease elimination within the targeted time frame.
印度承诺到 2030 年消除疟疾。印度政府发布的国家消除疟疾框架计划通过分阶段的战略规划来实现这一目标。由于病媒控制是疾病管理和病媒消除的主要组成部分,因此需要彻底了解在该国不同生态系统中具有明确分布模式的疟疾病媒的生物学和生态学。尽管有大量关于这些方面的信息,但关于叮咬时间和节奏以及病媒户外传播程度的鲜为人知的数据对于有效实施关键病媒控制干预措施至关重要。大多数可用的病媒物种数据都处于广义层面,而主要病媒是物种复合体,其成员在生物学特征上明显不同。此外,室内滞留喷雾和长效杀虫剂蚊帐的持续使用导致病媒广泛产生抗药性,并改变了它们的行为。本文确定了印度病媒控制面临的挑战,并提出了克服这些问题的可能解决方案。充分解决这些问题将有助于大大减少疟疾传播,并最终在目标时间内消除该疾病。