Danis Martin
Professeur des universités-Praticien hospitalier émérite, CHU Pitié-Salpêtrière, Sorbonne Université, Faculté de médecine de Paris.
Membre titulaire émérite de l'Académie de médecine.
Med Trop Sante Int. 2023 May 15;3(2). doi: 10.48327/mtsi.v3i2.2023.375. eCollection 2023 Jun 30.
Malaria, a parasitic disease the pathogen of which was discovered by Alphonse Laveran in 1880 in the blood of febrile patients, remains in 2022 the most frequent endemic disease in tropical and subtropical countries. In its latest "World Malaria Report" available in November 2021, the WHO deals in great detail with the data collected in the field in 2019-2020, their progression over the last 20 years, and the measures to be taken to try to better control this life-threatening endemic. The number of malaria cases is estimated at 232 million in 2019 in 87 endemic countries, down from 245 million in 2000. The WHO African Region alone accounts for 94% of cases and the most frequent and severe infections due to species. If children under the age of 5 are not treated promptly, they can die. Globally, the number of malaria deaths declined steadily over the period 2000-2019, from 897,000 in 2000 to 568,000 in 2019, with nearly 95% of deaths occurring in 31 countries, primarily in sub-Saharan Africa. In other WHO regions, including Southeast Asia, malaria deaths decreased by 74%, with 35,000 deaths in 2000 compared to 9,000 in 2019. Malaria can be controlled worldwide, and possibly eradicated, if public information campaigns are strengthened and sufficient funds are made available.
疟疾是一种寄生虫病,其病原体于1880年由阿尔方斯·拉韦朗在发热患者的血液中发现,到2022年,它仍是热带和亚热带国家最常见的地方病。在2021年11月发布的最新《世界疟疾报告》中,世卫组织详细阐述了2019-2020年实地收集的数据、过去20年的进展情况以及为更好地控制这种危及生命的地方病而应采取的措施。据估计,2019年87个疟疾流行国家的疟疾病例数为2.32亿,低于2000年的2.45亿。仅世卫组织非洲区域就占病例数的94%,且因某些疟原虫种类导致的感染最为常见和严重。5岁以下儿童若不及时治疗,可能会死亡。全球范围内,2000-2019年期间疟疾死亡人数稳步下降,从2000年的89.7万降至2019年的56.8万,近95%的死亡发生在31个国家,主要在撒哈拉以南非洲。在世卫组织的其他区域,包括东南亚,疟疾死亡人数下降了74%,2000年有3.5万人死亡,而2019年为9000人。如果加强公共宣传活动并提供足够资金,疟疾在全球范围内是可以得到控制的,甚至有可能被根除。