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阿诺尔多·加瓦尔东在热带地区疟疾控制与公共卫生方面的独立路径:世界卫生组织错失的“范例”

Arnoldo Gabaldón's independent path for malaria control and public health in the tropics: a lost "paradigm" for WHO.

作者信息

Litsios S

机构信息

Division of Control of Tropical Diseases, World Health Organization, Geneva, Switzerland.

出版信息

Parassitologia. 1998 Jun;40(1-2):231-8.

PMID:9653748
Abstract

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.

摘要

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。

相似文献

1
Arnoldo Gabaldón's independent path for malaria control and public health in the tropics: a lost "paradigm" for WHO.阿诺尔多·加瓦尔东在热带地区疟疾控制与公共卫生方面的独立路径:世界卫生组织错失的“范例”
Parassitologia. 1998 Jun;40(1-2):231-8.
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Malaria control and elimination, Venezuela, 1800s –1970s.委内瑞拉的疟疾防治与消除,19世纪至20世纪70年代
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'No other logical choice': global malaria eradication and the politics of international health in the post-war era.“别无其他合理选择”:全球疟疾根除与战后时期的国际卫生政治
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引用本文的文献

1
Malaria control and elimination, Venezuela, 1800s –1970s.委内瑞拉的疟疾防治与消除,19世纪至20世纪70年代
Emerg Infect Dis. 2014 Oct;20(10):1697-704. doi: 10.3201/eid2010.130917.
2
Lessons of history? Anti-malaria strategies of the International Health Board and the Rockefeller Foundation from the 1920s to the era of DDT.历史的教训?20世纪20年代至滴滴涕时代国际卫生委员会和洛克菲勒基金会的抗疟策略。
Public Health Rep. 2004 Mar-Apr;119(2):206-15. doi: 10.1177/003335490411900214.