National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research); NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases; National Center for International Research on Tropical Diseases, Shanghai, China.
National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research); NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases; National Center for International Research on Tropical Diseases, Shanghai, China
BMJ Glob Health. 2022 Apr;7(4). doi: 10.1136/bmjgh-2021-008351.
Although the total number of malaria cases and fatalities have declined globally since 2010, there were still 241 million malaria cases identified across 85 countries and territories in 2020. As the global malaria eradication process accelerates, more countries have launched their own initiatives of elimination. Notably, China achieved this goal by 2021, ending thousands of years of endemic. Undoubtedly, tremendous experience and vital lessons have been accrued en route to the malaria-free goal in malaria-eliminated countries including China. To enhance prospects of a malaria-free world by bridging the key evidence from a malaria-eliminated country to the contexts of affected, this personal view highlights concerted commitments and universal investment in healthcare, improved surveillance and response system, constant capacity building, demand-oriented scientific research, and multiway cooperation, which have helped China to eliminate this ancient scourge. We discuss how these key takeaways could be leveraged to different contexts. We also argue the long-term challenges and barriers on the pathway to malaria elimination and underline the needs for consistent efforts to maintain zero indigenous cases and prevent re-introduction of malaria. Through concerted efforts from global collaboration, a malaria-free world can become a reality.
虽然自 2010 年以来,全球疟疾病例和死亡人数有所下降,但 2020 年仍有 85 个国家和地区报告了 2.41 亿例疟疾病例。随着全球消除疟疾进程的加速,越来越多的国家启动了自己的消除行动。值得注意的是,中国在 2021 年实现了这一目标,结束了疟疾流行的千年历史。在包括中国在内的已消除疟疾国家实现无疟疾目标的过程中,无疑积累了巨大的经验和宝贵的教训。为了通过将来自已消除疟疾国家的关键证据与受影响国家的情况联系起来,加强实现无疟疾世界的前景,本个人观点强调了在医疗保健方面的协调承诺和普遍投资、改进监测和应对系统、不断的能力建设、以需求为导向的科研以及多方面合作,这些都有助于中国消除这一古老的祸害。我们讨论了如何利用这些关键经验教训来应对不同的情况。我们还认为,在消除疟疾的道路上存在长期的挑战和障碍,并强调需要持续努力,以保持零本土病例和防止疟疾再次传入。通过全球合作的协同努力,一个无疟疾的世界将成为现实。