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改善非洲流离失所人群中疟疾的诊断和监测。

Improving diagnostics and surveillance of malaria among displaced people in Africa.

作者信息

Abdul-Rahman Toufik, Ajetunmobi Oyinbolaji Akinwande, Bamigbade Gafar Babatunde, Ayesiga Innocent, Shah Muhammad Hamza, Rumide Tolulope Sharon, Adesina Abdurahman Babatunde, Adeshina Ganiyat Adekemi, Oni Oluwabusola Elizabeth, Christian Bet-Ini Nsikak, Aborode Abdullahi Tunde, Wireko Andrew Awuah, Thaalibi Hala Ibrahim, Abdalla Iman Mustafa, Banimusa Sewar Basheer, Jonathan Justice Ndubuisi, Onifade Isreal Ayobami, Haque Md Ariful

机构信息

Department of Research, Toufik's World Organization, Anonova 10, Sumy, 40007, Ukraine.

Master of Public and International Affairs, University of Lagos, Akoka, Nigeria.

出版信息

Int J Equity Health. 2025 Jan 21;24(1):22. doi: 10.1186/s12939-025-02378-6.

DOI:10.1186/s12939-025-02378-6
PMID:39833862
原文链接:
https://pmc.ncbi.nlm.nih.gov/articles/PMC11749312/
Abstract

African communities that have been forced to leave their homes experience a considerably greater susceptibility to malaria as a result of densely populated living conditions, restricted availability of healthcare, and environmental influences. Internally displaced individuals frequently live in large settlements with restricted availability to drinking water, essential sanitation, and medical services, intensifying the spread of malaria. As a result, the occurrence of malaria is significantly more common among refugees and internally displaced individuals compared to those who are not displaced. This leads to greater rates of illness and death, especially among young people. Insufficient monitoring worsens the condition, leading to delayed identification and medical intervention, and contributing to a higher incidence of severe malaria and deaths. Furthermore, these communities are faced with economic consequences that contribute to the continuation of poverty and the worsening of socio-economic inequalities. Furthermore, the psychological impact of malaria, which is marked by feelings of anxiety and uncertainty, is particularly severe in vulnerable populations such as displaced children and pregnant women, aggravating the overall burden. Hence, addressing malaria in displaced populations in Africa requires comprehensive and well-coordinated strategies. Advanced diagnostic and surveillance technologies are essential for promptly identifying and treating malaria, providing chances to monitor and control its spread effectively. Collaboration among healthcare, policy, and humanitarian sectors is crucial for implementing comprehensive solutions that incorporate enhanced diagnostics, surveillance, and socio-psychological support. Active involvement of the community, usage of Community Health Workers, and regular collection of surveillance data are crucial in increasing awareness, directing control efforts, and tackling the specific difficulties encountered by displaced groups. Moreover, the implementation of environmental management, the incorporation of health services, and the utilization of adaptable healthcare interventions are essential for reducing the effects of malaria. To mitigate the impact of malaria and improve health outcomes among displaced populations in Africa, it is crucial to focus on these specific areas.

摘要

被迫离开家园的非洲社区,由于居住条件密集、医疗资源有限以及环境影响,感染疟疾的易感性大大增加。境内流离失所者经常生活在大型定居点,饮用水、基本卫生设施和医疗服务供应受限,加剧了疟疾的传播。因此,与未流离失所者相比,难民和境内流离失所者中疟疾的发生更为常见。这导致更高的发病率和死亡率,尤其是在年轻人中。监测不足使情况恶化,导致识别和医疗干预延迟,增加了严重疟疾和死亡的发生率。此外,这些社区还面临经济后果,这导致贫困持续存在和社会经济不平等加剧。此外,疟疾的心理影响以焦虑和不确定感为特征,在流离失所儿童和孕妇等弱势群体中尤为严重,加重了总体负担。因此,应对非洲流离失所人群中的疟疾需要全面且协调良好的战略。先进的诊断和监测技术对于及时识别和治疗疟疾、提供有效监测和控制其传播的机会至关重要。医疗、政策和人道主义部门之间的合作对于实施综合解决方案至关重要,这些方案包括加强诊断、监测和社会心理支持。社区的积极参与、社区卫生工作者的使用以及定期收集监测数据对于提高认识、指导控制工作以及解决流离失所群体遇到的具体困难至关重要。此外,实施环境管理、整合卫生服务以及采用适应性强的医疗干预措施对于减轻疟疾影响至关重要。为减轻疟疾影响并改善非洲流离失所人群的健康状况,关注这些特定领域至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294d/11749312/d910fcc7761a/12939_2025_2378_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294d/11749312/942525a61ed3/12939_2025_2378_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294d/11749312/77a048c411ec/12939_2025_2378_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294d/11749312/d910fcc7761a/12939_2025_2378_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294d/11749312/942525a61ed3/12939_2025_2378_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294d/11749312/77a048c411ec/12939_2025_2378_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294d/11749312/d910fcc7761a/12939_2025_2378_Fig3_HTML.jpg

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