Ouledi A
Service de lutte contre les maladies à transmission vectorielle, Moroni, Comores.
Sante. 1995 Nov-Dec;5(6):368-71.
Malaria constitutes a major public health problem in the Federal Islamic Republic of Comoros. This problem is relatively recent from the historical point of view of the archipelago. It represents 15 to 30% of the hospitalization cases and 15 to 20% of the registered deaths in the pediatric services. The epidemiological data collected show that the characteristics of malaria transmission continue for the stable type; however, the epidemiological situation varies from one island to another. The principal vectors of malaria are Anopheles gambiae s.l. and A. funestus. Of the four parasitic species, P. falciparum remains the most dominant, as it is responsible for 95% of the paludal attacks. Important progress has been accomplished during the last several years in the fight against malaria in the Federal Islamic Republic of Comoros, with the elaboration of national politics (October 1992), a national strategy for an antivectorial fight (August 1993) and a practical guide for the treatment and prevention of malaria and filariasis (October 1993). These important achievements allow the establishment of more vigorous and better targeted future actions.
疟疾是科摩罗联邦伊斯兰共和国的一个主要公共卫生问题。从该群岛的历史角度来看，这个问题相对较新。它占住院病例的15%至30%，在儿科服务中占登记死亡人数的15%至20%。收集到的流行病学数据表明，疟疾传播特征仍为稳定型；然而，不同岛屿的流行病学情况有所不同。疟疾的主要传播媒介是冈比亚按蚊复合种和富氏按蚊。在四种寄生性疟原虫中，恶性疟原虫仍然是最主要的，因为它导致了95%的疟疾发作。在过去几年里，科摩罗联邦伊斯兰共和国在抗击疟疾方面取得了重要进展，制定了国家政策（1992年10月）、病媒控制国家战略（1993年8月）以及疟疾和丝虫病治疗与预防实用指南（1993年10月）。这些重要成就为未来开展更有力、目标更明确的行动奠定了基础。
