Gazin Pierre
SFMTSI Société francophone de médecine tropicale et santé internationale (ancienne SPE), Hôpital Pitié-Salpêtrière, Pavillon Laveran, 47-83 Boulevard de l'Hôpital, 75651 Paris cedex 13, France.
* Actes du Colloque - Centenaire de la mort d'Alphonse Laveran. 24 novembre 2022, Paris / roceedings of the Conference - Centenary of the death of Alphonse Laveran. 24 November 2022, Paris.
Med Trop Sante Int. 2023 Feb 6;3(1). doi: 10.48327/mtsi.v3i1.2023.309. eCollection 2023 Mar 31.
The observation of miasmas and fevers was attested in the region of Biguglia, South of Bastia, in 1499, confirmed during the 17 century. Drainage works on the eastern coast were started in 1770, abandoned during the revolutionary period, restarted under the Second Empire, with few results on the endemic. Thus in 1875, 80% of the inhabitants of the eastern plain were considered on their appearance to suffer malaria. The rural population was miserable, the mortality high. However, it was not possible to distinguish the responsibility of malaria among the other fevers.In 1899 and following years, A. Laveran was in Corsica. He confirmed the presence of Anopheles in the localities where malaria was present. He encouraged the creation in Bastia in 1902 of the Corsican League against Malaria and he chaired it. The actions of this League were based on the fight against the larvae by chemical destruction, on the use of mosquito nets and on massive and free preventive "quininisation". A sanitation and development law for Corsica was passed in 1911. Initial results were observed, confirmed by Léger and Arlo (1913) [6]. After WW1, the activities started again, in particular by Sergent and Sergent. An antimalarial application station, subsidized by the Rockefeller Foundation, was created in Bastia in 1925, supported by the laboratory of parasitology of the Faculty of Medicine of Paris. was predominant, transmitted essentially by of the complex, up to an altitude of 500 m. The role of population displacements, linked to pastoral practices, the absence of stables and therefore of zoonotic deviation of anopheles were underlined.The liberation of Corsica in October 1943 allowed the installation by the American army of numerous airfields on the eastern plain. An intense local mosquito control by DDT was then carried out, impressing the population. However, malaria prospered on the island with an acme of indices in 1947. From 1948, campaigns of spraying insecticide against adults, chemical control of larvae or use of larvivorous fish, treatment of patients in dispensaries led to very good results. Since 1953, malaria transmission is interrupted in Corsica excepted 30 indigenous cases in 1970-71. Currently, the situation in Corsica of an anophelism without malaria is considered to be under control with a low risk of resumption of a localized transmission.
1499年,在巴斯蒂亚以南的比古利亚地区有人证实观察到瘴气和发热现象,17世纪时得到确认。1770年开始了东海岸的排水工程,革命期间工程停工,第二帝国时期重新开工,但对地方病的防治成效甚微。因此在1875年,东部平原80%的居民看上去都患有疟疾。农村人口生活悲惨,死亡率很高。然而,在其他发热疾病中无法区分出疟疾的致病责任。1899年及随后几年,A. 拉韦朗在科西嘉岛。他证实在有疟疾的地方存在按蚊。1902年,他鼓励在巴斯蒂亚成立科西嘉抗疟联盟并担任主席。该联盟的行动基于通过化学药剂消灭幼虫、使用蚊帐以及大规模免费预防性“奎宁化”来对抗疟疾。1911年通过了一项针对科西嘉岛的卫生与发展法案。观察到了初步成效,莱热和阿洛(1913年)[6]对此予以证实。第一次世界大战后,活动再次展开,尤其是由塞尔让父子进行的。1925年,在巴黎医学院寄生虫学实验室的支持下,由洛克菲勒基金会资助,在巴斯蒂亚设立了一个抗疟应用站。 占主导地位,主要由 复合体的 传播,传播高度可达500米。强调了与畜牧活动相关的人口流动、马厩的缺失以及因此按蚊缺乏人畜共患病传播途径的作用。1943年10月科西嘉岛解放后,美国军队在东部平原修建了众多机场。随后通过滴滴涕对当地蚊子进行了密集防治,给民众留下了深刻印象。然而,疟疾在该岛依然肆虐,1947年发病率达到顶峰。从1948年起,针对成蚊喷洒杀虫剂、对幼虫进行化学防治或使用食蚊鱼、在诊疗所治疗患者等行动取得了很好的效果。自1953年起,科西嘉岛除了1970 - 1971年有30例本地病例外,疟疾传播已被阻断。目前,科西嘉岛无疟疾的按蚊情况被认为处于可控状态,但局部传播恢复的风险较低。