1United States President's Malaria Initiative, Centers for Disease Control and Prevention, Atlanta, Georgia.
2United States President's Malaria Initiative, United States Agency for International Development, Washington, District of Columbia.
Am J Trop Med Hyg. 2021 Apr 23;104(6):1955-1959. doi: 10.4269/ajtmh.21-0432.
World Malaria Day 2021 coincides with the 15th anniversary of the United States President's Malaria Initiative (PMI) and follows the first anniversary of the declaration of the coronavirus disease (COVID-19) pandemic. From 2006 to the present, the PMI has led to considerable country-managed progress in malaria prevention, care, and treatment in 24 of the highest-burden countries in sub-Saharan Africa and three countries in the Southeast Asia Greater Mekong subregion. Furthermore, it has contributed to a 29% reduction in malaria cases and a 60% reduction in the death rates in sub-Saharan Africa. In this context of progress, substantial heterogeneity persists within and between countries, such that malaria control programs can seek subnational elimination in some populations but others still experience substantial malaria disease and death. During the COVID-19 pandemic, most malaria programs have shown resilience in delivering prevention campaigns, but many experienced important disruptions in their care and treatment of malaria illness. Confronting the COVID-19 pandemic and building on the progress against malaria will require fortitude, including strengthening the quality and ensuring the safety and resiliency of the existing programs, extending services to those currently not reached, and supporting the people and partners closest to those in need.
2021 年世界疟疾日恰逢美国总统疟疾倡议（PMI）启动 15 周年，同时也是宣布新冠疫情大流行一周年。自 2006 年至今，PMI 在撒哈拉以南非洲 24 个疟疾负担最重的国家和大湄公河次区域的 3 个国家推动了疟疾防治、护理和治疗方面的重大国家主导进展。此外，PMI 促成了撒哈拉以南非洲地区疟疾发病率降低 29%，死亡率降低 60%。在这一进展背景下，各国之间和各国内部仍存在很大差异，例如，疟疾控制项目可以在某些人群中寻求实现国家级消除，但其他人群仍面临严重的疟疾疾病和死亡。在新冠疫情期间，大多数疟疾规划在开展预防运动方面表现出了较强的适应能力，但许多规划在疟疾护理和治疗方面经历了重要的中断。在应对新冠疫情的同时，要想在抗击疟疾方面取得进展，需要坚定决心，包括加强现有规划的质量和安全性，确保其具有弹性，将服务扩展到目前尚未覆盖的人群，并支持最接近有需要的人的人民和合作伙伴。
