Cochet P, Deparis X, Morillon M, Louis F J
Service de Médecine des Collectivités, Institut de Médecine Tropicale, Service de Santé des Armées, Marseille, France.
Med Trop (Mars). 1996;56(2):185-8.
Guyana is the only department of France in which malaria is a public health problem. The fact that 4,000 new cases including 80% due to Plasmodium falciparum and less than 5 deaths are reported each year shows that the disease is under control but has not been eradicated despite the quantity and quality of the resources that have been implemented. This region of 91,000 km2 with approximately 140,000 inhabitants can be roughly divided into 3 zones. Along the coastline where most of the population lives, malaria is uncommon. In the most remote scarcely populated areas of upper and middle Maroni and upper Oyapock, malaria is stable, perennial and well controlled. In low Maroni and low Oyapock, the impact of malaria is compounded by the high turnover of the population. There is a heavy and poorly controlled movement of migrant people on the two rivers that constitute the natural borders with Brazil and Surinam. Under these conditions strict measures cannot be implemented and malaria remains a problem in Guyana.
法属圭亚那是法国唯一一个疟疾构成公共卫生问题的省份。每年报告4000例新病例，其中80%由恶性疟原虫引起，死亡人数不到5人，这一事实表明，尽管已投入大量资源且质量较高，但该疾病仍在可控范围内，但尚未根除。这个面积91000平方公里、约有14万居民的地区大致可分为三个区域。在大多数人口居住的沿海地区，疟疾并不常见。在马罗尼河上游和中游以及奥亚波克河上游最偏远、人口稀少的地区，疟疾呈稳定的常年性且得到了很好的控制。在马罗尼河下游和奥亚波克河下游，疟疾的影响因人口流动频繁而加剧。在构成与巴西和苏里南天然边界的两条河流上，移民流动量大且管控不力。在这种情况下，无法实施严格措施，疟疾在法属圭亚那仍然是一个问题。
