1Indian Council of Medical Research, New Delhi, India.
2ICMR-National Institute of Malaria Research, New Delhi, India.
Am J Trop Med Hyg. 2020 Jul;103(1):28-30. doi: 10.4269/ajtmh.20-0394. Epub 2020 May 7.
Most countries around the world have responded promptly to the novel coronavirus disease (COVID-19) challenge by adopting considered and scientifically guided strategies for its containment. However, the situation is more complex for nations where malaria is endemic, as they now have the additional burden of COVID-19. In such nations, the healthcare systems are either in the preparatory or containment phase of the current pandemic. This enforced, sudden, and sharp public health refocus is likely to result in the disruption of annual malaria control activities such as distribution of insecticide-impregnated bed nets, indoor residual spraying of insecticide, maintenance of malaria surveillance, and mass provision of antimalarial drugs. Nonetheless, we feel that the best facets of COVID-19 public health management can become new guiding principles in malaria-endemic countries to improve malaria control and hasten malaria elimination. Redirection against malaria of the best public health initiatives used in COVID-19 containment could fast-track the global goal of a malaria-free world. Such public health advancement could be one positive outcome from the scourge of COVID-19.
大多数国家都对新冠病毒病(COVID-19)疫情做出了迅速反应,采取了深思熟虑、科学指导的策略来控制疫情。然而,对于疟疾流行的国家来说,情况更为复杂,因为它们现在又面临着 COVID-19 的额外负担。在这些国家,医疗体系正处于当前大流行的准备或控制阶段。这种强制性的、突然的、急剧的公共卫生重点转移,可能会导致年度疟疾控制活动的中断,如驱虫蚊帐的发放、室内杀虫剂喷洒、疟疾监测的维持以及大规模提供抗疟药物。尽管如此,我们认为 COVID-19 公共卫生管理的最佳方面可以成为疟疾流行国家改善疟疾控制和加速消除疟疾的新指导原则。将 COVID-19 遏制中使用的最佳公共卫生措施转向疟疾,可以加快实现无疟疾世界的全球目标。这种公共卫生的进步可能是 COVID-19 这场灾难带来的一个积极结果。
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