疟疾的再发生预防。
Prevention of re-establishment of malaria.
机构信息
Bicol University College of Medicine, Legazpi City, Philippines.
Martsinovski Institute of Medical Parasitology, Tropical and Vector-Borne Diseases, Sechenov University, 119 435, Moscow, Russia.
出版信息
Malar J. 2021 May 31;20(1):243. doi: 10.1186/s12936-021-03781-4.
Abstract
The current consensus on prevention of re-establishment of malaria is based on the following principles: (1) Fundamental role of general health services; (2) Surveillance; (3) Vector control; (4) Border actions; (5) Intersectoral collaboration. These principles are critically reviewed, and it is pointed out that alertness of the general health services to suspected malaria (vigilance) needs to be maintained everywhere, while health education is rational only if targeting high-risk sub-populations. It is argued that prevention of re-establishment of malaria transmission should be integrated with prevention of malaria mortality in cases of imported malaria, and that this requires collaboration with entities dealing with travellers' health and the availability of chemoprophylaxis and other measures for travellers to malaria endemic countries.
摘要
目前关于防止疟疾再次流行的共识是基于以下原则
（1）一般卫生服务的根本作用；（2）监测；（3）病媒控制；（4）边境行动；（5）部门间合作。这些原则受到了严格的审查，并且指出，一般卫生服务对疑似疟疾的警觉性（警惕性）需要在任何地方保持，而健康教育只有针对高风险亚人群才有意义。有人认为，预防疟疾传播的重新建立应与预防输入性疟疾导致的疟疾死亡相结合，这需要与处理旅行者健康的实体合作，并提供化学预防和其他针对疟疾流行国家旅行者的措施。
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