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葡萄牙的疟疾根除情况。

Malaria eradication in Portugal.

作者信息

Bruce-Chwatt L J

出版信息

Trans R Soc Trop Med Hyg. 1977;71(3):232-40. doi: 10.1016/0035-9203(77)90014-1.

Abstract

Research on malaria, which was endemic in several parts of Portugal at the beginning of this century, was intensified in the 1940's and led to the development of better control methods, especially in the rice-growing areas of the country. In the 1950's residual DDT spraying was introduced and followed by extensive detection of cases of malaria and their treatment. Plans for eradication of the disease were made, and by 1958 the transmission of the infection was interrupted in nearly all areas of European Portugal. The country was placed in the maintenance phase of malaria eradication and the certification of malaria eradication was confirmed by the WHO in 1973. The political and military events of the past five years greatly increased the number of cases of malaria imported into Portugal from tropical Africa and indicated the need for much vigilance to prevent the resumption of transmission by the local vectors. It appears that the measures put into action have succeeded in this respect. This was due to the high degree of effective surveillance and also to the fact that Anopheles atroparvus does not readily transmit the exotic strains of Plasmodium falciparum and P. vivax. However, further vigilance must be maintained and intensified.

摘要

疟疾在本世纪初在葡萄牙的几个地区流行,20世纪40年代对其研究得到加强,并促成了更好的控制方法的发展,特别是在该国的水稻种植区。20世纪50年代引入了残留滴滴涕喷洒,随后对疟疾病例进行了广泛检测和治疗。制定了根除该疾病的计划,到1958年,葡萄牙大陆几乎所有地区的感染传播都被中断。该国进入了疟疾根除的维持阶段,1973年世界卫生组织确认了疟疾根除的认证。过去五年的政治和军事事件大大增加了从热带非洲输入葡萄牙的疟疾病例数量,这表明需要高度警惕,以防止当地病媒恢复传播。看来在这方面所采取的措施已经取得成功。这归功于高度有效的监测,也归功于阿托帕蚊不容易传播恶性疟原虫和间日疟原虫的外来菌株这一事实。然而,必须保持并加强进一步的警惕。

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