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弱势社区是否充分了解蚊虫的生物生态学和负担?

Are Vulnerable Communities Thoroughly Informed on Mosquito Bio-Ecology and Burden?

机构信息

Department of Biological Sciences and Biotechnology, Botswana International University of Science and Technology, P. Bag 16, Palapye, Botswana.

出版信息

Int J Environ Res Public Health. 2020 Nov 6;17(21):8196. doi: 10.3390/ijerph17218196.

Abstract

Mosquitoes account for a significant burden of morbidity and mortality globally. Despite evidence of (1) imminent anthropogenic climate and environmental changes, (2) vector-pathogen spatio-temporal dynamics and (3) emerging and re-emerging mosquito borne infections, public knowledge on mosquito bio-ecology remain scant. In particular, knowledge, attitude and practices (KAPs) on mosquitoes are often neglected despite otherwise expensive remedial efforts against consequent infections and other indirect effects associated with disease burden. To gather baseline KAPs that identify gaps for optimising vector-borne disease control, we surveyed communities across endemic and non-endemic malaria sub-districts (Botswana). The study revealed limited knowledge of mosquitoes and their infections uniformly across endemic and non-endemic areas. In addition, a significant proportion of respondents were concerned about mosquito burdens, although their level of personal, indoor and environmental protection practices varied significantly across sub-districts. Given the limited knowledge displayed by the communities, this study facilitates bridging KAP gaps to minimise disease burdens by strengthening public education. Furthermore, it provides a baseline for future studies in mosquito bio-ecology and desirable control practices across differential spheres of the rural-urban lifestyle, with implications for enhanced livelihoods as a consequence of improved public health.

摘要

蚊子在全球范围内造成了很大的疾病负担和死亡率。尽管有证据表明(1)人为引起的气候和环境变化迫在眉睫,(2)病媒传播病原体的时空动态,以及(3)新出现和重新出现的蚊子传播感染,但公众对蚊子的生物生态学了解仍然很少。特别是,尽管针对由此产生的感染和与疾病负担相关的其他间接影响采取了昂贵的补救措施,但对蚊子的知识、态度和做法(KAP)往往被忽视。为了收集基线 KAP,以确定优化虫媒疾病控制的差距,我们调查了博茨瓦纳流行和非流行疟疾分区的社区。研究表明,在流行和非流行地区,人们对蚊子及其感染的了解都很有限。此外,尽管各分区的个人、室内和环境保护做法差异很大,但相当一部分受访者对蚊子负担表示担忧。鉴于社区表现出的知识有限,本研究通过加强公众教育来弥合 KAP 差距,从而最大限度地减少疾病负担。此外,它为未来在农村-城市生活方式的不同领域进行蚊子生物生态学和理想控制实践的研究提供了基线,这将对改善公共卫生带来的生计改善产生影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0495/7672552/968fa5831307/ijerph-17-08196-g001.jpg

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