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沃尔特·里德项目,基苏木野外工作站:疟疾研究对政策、管理和预防的影响。

The Walter Reed Project, Kisumu Field Station: Impact of Research on Malaria Policy, Management, and Prevention.

机构信息

Kenya Medical Research Institute, Kisumu, Kenya.

U.S. Army Medical Research Directorate-Africa, Kisumu, Kenya.

出版信息

Am J Trop Med Hyg. 2024 Apr 23;110(6):1069-1079. doi: 10.4269/ajtmh.23-0115. Print 2024 Jun 5.

Abstract

The Walter Reed Project is a collaboration between the Walter Reed Army Institute of Research of the United States Department of Defense and the Kenya Medical Research Institute. The Kisumu field station, comprising four campuses, has until recently been devoted primarily to research on malaria countermeasures. The Kombewa Clinical Research Center is dedicated to conducting regulated clinical trials of therapeutic and vaccine candidates in development. The center's robust population-based surveillance platform, along with an active community engagement strategy, guarantees consistent recruitment and retention of participants in clinical trials. The Malaria Diagnostic Center, backed by WHO-certified microscopists and a large malaria blood film collection, champions high-quality malaria diagnosis and strict quality assurance through standardized microscopy trainings. The Malaria Drug Resistance Laboratory leverages cutting-edge technology such as real-time Polymerase Chain Reaction (qPCR) to conduct comprehensive research on resistance markers and obtain information on drug efficacy. The laboratory has been working on validating artemisinin resistance markers and improving tracking methods for current and future antimalarial compounds. Finally, the Basic Science Laboratory employs advanced genomic technology to examine endpoints such as immunogenicity and genomic fingerprinting for candidate drugs and vaccine efficacy. Herein, we examine the site's significant contributions to malaria policy, management, and prevention practices in Kenya and around the world.

摘要

沃尔特·里德项目是美国国防部沃尔特·里德陆军研究所与肯尼亚医学研究所之间的合作项目。基苏木实地站由四个校区组成,直到最近一直主要致力于疟疾对策的研究。Kombewa 临床研究中心致力于开展正在开发的治疗候选药物和疫苗的监管临床试验。该中心强大的基于人群的监测平台以及积极的社区参与策略,确保了临床试验参与者的持续招募和保留。疟疾诊断中心拥有经过世界卫生组织认证的显微镜检查人员和大量疟疾血涂片收藏,通过标准化显微镜培训支持高质量的疟疾诊断和严格的质量保证。疟疾耐药性实验室利用实时聚合酶链反应(qPCR)等尖端技术,对耐药性标记物进行全面研究,并获取有关药物疗效的信息。该实验室一直在努力验证青蒿素耐药性标记物,并改进当前和未来抗疟化合物的跟踪方法。最后,基础科学实验室采用先进的基因组技术,研究候选药物和疫苗疗效的免疫原性和基因组指纹等终点。在此,我们探讨了该基地对肯尼亚乃至全球疟疾政策、管理和预防实践的重要贡献。

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