Independent Malaria Expert, New Delhi, India.
Malar J. 2023 Apr 18;22(1):128. doi: 10.1186/s12936-023-04558-7.
Malaria case management with prompt and effective treatment is critical to minimize morbidity and mortality, reduce transmission and to prevent the emergence and spread of anti-malarial drug resistance. India has the highest burden of malaria in South East Asia Region and has made impressive progress in the reduction of the malaria burden in recent years. Since the last revision to the Indian national malaria treatment policy in 2013, guidelines on new treatment strategies have been published for the control/ elimination of malaria by the World Health Organisation (WHO). The most recent update was in March 2023 based on the new evidence available. India's success is the Region's success. Therefore, to meet the national as well as regional targets of elimination, the Indian National Programme needs to consider WHO guidelines, deliberate with stakeholders and experts so as to tailor and adapt to the local context, and update National policies to incorporate the relevant ones. Technical aspects of new WHO guidelines which need to be considered for updating India's treatment policy are discussed.
疟疾病例管理需要及时有效的治疗,这对于最大限度地减少发病率和死亡率、降低传播风险以及防止抗疟药物耐药性的出现和传播至关重要。印度是东南亚地区疟疾负担最重的国家,但近年来在降低疟疾负担方面取得了令人瞩目的进展。自 2013 年修订印度国家疟疾治疗政策以来,世界卫生组织(世卫组织)发布了新的治疗策略指南,以控制/消除疟疾。最近的一次更新是在 2023 年 3 月,依据的是现有新证据。印度的成功也是该区域的成功。因此,为了实现国家和区域消除疟疾的目标,印度国家规划需要考虑世卫组织的指南,与利益攸关方和专家进行协商,以便根据当地情况进行调整和适应,并更新国家政策以纳入相关内容。文中讨论了为更新印度治疗政策需要考虑的世卫组织新指南的技术方面。