ICMR-National Institute of Malaria Research, Raipur, Chhattisgarh, India
ICMR-National Institute of Malaria Research, New Delhi, Delhi, India.
BMJ Glob Health. 2021 May;6(5). doi: 10.1136/bmjgh-2021-005391.
Despite the decrease in malaria mortality and morbidity, it remains a significant public health problem in India. India is targeting malaria elimination from the country by 2030. Different areas in India are in different phases of malaria elimination. The emerging resistance in vectors as well parasite have added necessity to accelerate the malaria elimination programme. Forested areas remain the foci for malaria transmission due to favourable human and environmental factors. Here, we analysed the longitudinal data from 2000 to 2019 to see the trends in forest malaria in India. Population living in forested areas are major malaria contributors. From 2000 to 2019, ~32% of malaria cases and 42% of malaria related deaths were reported from forested districts which represent only ~6.6% of the total Indian population. Increasing insecticide resistance, a high percentage of submicroscopic infections and challenging to test and treat communities are the crucial components of the prevailing obstacles of forested malaria. To achieve the elimination goal, efforts should be intensified with more resources diverted to the forested areas. Malaria control in forested areas will bring fruitful results for malaria control in India.
尽管疟疾的死亡率和发病率有所下降，但它仍是印度一个重大的公共卫生问题。印度的目标是到 2030 年消除该国的疟疾。印度不同地区处于消除疟疾的不同阶段。媒介和寄生虫的新出现的抗药性增加了加速消除疟疾方案的必要性。由于有利的人和环境因素，森林地区仍然是疟疾传播的焦点。在这里，我们分析了 2000 年至 2019 年的纵向数据，以了解印度森林疟疾的趋势。居住在森林地区的人口是疟疾的主要贡献者。2000 年至 2019 年，报告的森林地区疟疾病例约占 32%，疟疾相关死亡约占 42%，而森林地区仅占印度总人口的约 6.6%。不断增加的杀虫剂耐药性、高比例的亚临床感染以及难以对社区进行检测和治疗，是森林疟疾当前面临的主要障碍的关键组成部分。为了实现消除目标，应该加大投入更多资源到森林地区。在森林地区控制疟疾将为印度的疟疾控制带来丰硕成果。
