Litsios S
Division of Control of Tropical Diseases, World Health Organization, Geneva, Switzerland.
Parassitologia. 1998 Jun;40(1-2):231-8.
Arnoldo Gabaldón played a critical role in the early promotion of the belief that malaria could be eradicated in tropical countries. Under his leadership Venezuela was able to achieve dramatic progress, but nation-wide eradication was not realized. The path that Venezuela followed for malaria differed significantly from the WHO eradication strategy. Also, Gabaldón's public health approach, within which his malaria programme developed, was at odds with WHO's Basic Health Services (BHS) approach. The paper describes these differences and shows that approaches, similar to those subsequently pursued by Gabaldón, had been promoted in the early years of WHO's history but were quickly subsumed by that of BHS which came into force in 1953 and lasted until 1973. The paper concludes that, by remaining loyal to the global eradication of malaria, malariologists isolated themselves and lost much of their influence on the development of WHO public health policies and approaches.
阿诺尔多·加瓦尔东在早期推动热带国家能够根除疟疾这一信念方面发挥了关键作用。在他的领导下,委内瑞拉取得了显著进展,但全国范围内的根除并未实现。委内瑞拉防治疟疾所走的道路与世界卫生组织的根除战略有很大不同。此外,加瓦尔东的公共卫生方法(其疟疾项目在该方法框架内发展)与世界卫生组织的基本卫生服务(BHS)方法不一致。本文描述了这些差异,并表明类似于加瓦尔东后来所采用的方法,在世界卫生组织历史早期就已被提倡,但很快就被1953年生效并持续到1973年的基本卫生服务方法所取代。本文得出结论,由于坚持全球根除疟疾,疟疾学家们孤立了自己,并且在世界卫生组织公共卫生政策和方法的发展方面失去了很大影响力。