Knols Bart G J
Editor, MalariaWorld Journal.
Malariaworld J. 2024 Oct 22;15:13. doi: 10.5281/zenodo.13969756. eCollection 2024.
Overwhelmingly, contemporary malaria vector control equals the use of chemical pesticides (through insecticide-treated bednets or indoor residual spraying). Gradually, but surely, we have become enslaved to thinking that controlling malaria mosquitoes equals the use of chemical insecticides, and much of the vector control field today is dominated by scientists, lobbyists, chemical companies, funding agencies and (global) institutions that endlessly repeat this dogmatic belief. Although chemical control has undoubtedly saved millions of lives, which, morally speaking would immediately justify its continued use, it has many sides that may ultimately cost more lives than it saves. Not only the cyclical problems with insecticide resistance, but also our increased understanding of the human and environmental health impacts of these chemicals, continue to raise red flags. Furthermore, the millions of kilogrammes of annual bednet waste (polyethylene, polypropylene) and bednet packaging material cannot be ignored. In recent years, an abundance of evidence that the use of chemical pesticides is a prime cause for the global decline in insect biodiversity and abundance has surfaced. The rate at which this decline is happening is frightening and may sooner rather than later threaten food production on a global scale. Should we opt for saving lives in the short term by using chemicals and face devastating and irrevocable long-term consequences or become wise(r) in the way we control malaria mosquitoes?
当代疟疾媒介控制绝大多数情况下等同于使用化学杀虫剂(通过经杀虫剂处理的蚊帐或室内滞留喷洒)。渐渐地,但确定无疑地,我们已陷入一种思维定式,即控制疟疾蚊子就等同于使用化学杀虫剂,如今媒介控制领域很大程度上由科学家、游说者、化学公司、资助机构以及(全球)机构主导,他们无休止地重复这种教条式的信念。尽管化学控制无疑拯救了数百万人的生命,从道德层面讲,这立即证明了其持续使用的合理性,但它存在诸多方面的问题,最终可能导致付出的生命代价超过所拯救的生命。不仅存在杀虫剂抗性的周期性问题,而且我们对这些化学物质对人类和环境健康影响的认识不断加深,这持续敲响警钟。此外,每年数百万公斤的蚊帐废弃物(聚乙烯、聚丙烯)以及蚊帐包装材料也不容忽视。近年来,大量证据表明,使用化学杀虫剂是全球昆虫生物多样性和数量下降的主要原因。这种下降发生的速度令人恐惧,可能很快就会在全球范围内威胁粮食生产。我们是应该选择短期内使用化学物质拯救生命,却面临毁灭性且不可挽回的长期后果,还是在控制疟疾蚊子的方式上变得更加明智呢?