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撒哈拉以南非洲农业和灌溉地区病媒传播疾病控制干预措施:一项系统综述

Vector borne disease control interventions in agricultural and irrigation areas in sub-Saharan Africa: A systematic review.

作者信息

Kalitsilo Levi, Abdullahi Leila, Mbeye Nyanyiwe, Mwandira Lily, Hara Hleziwe, Mitambo Collins, Oronje Rose

机构信息

African Institute for Development Policy, Lilongwe, Malawi.

African Institute for Development Policy, Nairobi, Kenya.

出版信息

PLoS One. 2025 Feb 3;20(2):e0302279. doi: 10.1371/journal.pone.0302279. eCollection 2025.

Abstract

Irrigation farming has raised concerns about the steady transmission and introduction of new vector-borne infectious diseases (VBD) in the areas involved. This systematic review aimed to determine interventions that are effective for the management and control of VBDs in irrigation areas in sub-Saharan Africa (SSA). We searched the literature on VBD interventions in SSA from published and grey literature without specifying the publication year. A search strategy identified 7768 records from various databases, and after screening, 16 were included in the final analysis. Results showed various VBD control interventions were effective, including indoor residue spray (IRS), insect-treated nets (ITN), larva source management (LSM), mass drug administration (MDA), integrated vector management (IVM), and mollusciciding. IVM was commonly practiced, and its success was because of the complementarity of the various interventions involved. Successful VBD control interventions led to improved health amongst irrigation communities and consequently improved agricultural productivity. However, some challenges to these interventions were identified, which include seasonal changes and climate variability, insecticide and drug resistance, and farmers' attitudes toward accepting the interventions. Regardless, results showed that VBD control and management can be integrated into irrigation farming before or after the establishment of the irrigation scheme.

摘要

灌溉农业引发了人们对相关地区新的媒介传播传染病(VBD)持续传播和引入的担忧。本系统综述旨在确定对撒哈拉以南非洲(SSA)灌溉区VBD进行管理和控制有效的干预措施。我们检索了已发表文献和灰色文献中关于SSA地区VBD干预措施的文献,未指定出版年份。检索策略从各种数据库中识别出7768条记录,经过筛选,16条记录纳入最终分析。结果表明,多种VBD控制干预措施是有效的,包括室内滞留喷洒(IRS)、经杀虫剂处理的蚊帐(ITN)、幼虫源管理(LSM)、群体药物管理(MDA)、综合媒介管理(IVM)和杀螺。IVM是常用的方法,其成功得益于所涉及的各种干预措施的互补性。成功的VBD控制干预措施使灌溉社区的健康状况得到改善,从而提高了农业生产力。然而,也发现了这些干预措施面临的一些挑战,包括季节变化和气候变异性、杀虫剂和药物抗性以及农民对接受这些干预措施的态度。尽管如此,结果表明,VBD的控制和管理可以在灌溉计划建立之前或之后纳入灌溉农业。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c23/11790153/e4d437d99311/pone.0302279.g001.jpg

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