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Are malaria elimination efforts on right track?An analysis of gains achieved and challenges ahead

Infectious Diseases of Poverty 2019年第1期8卷 99-99页

作者： Sunil Dhiman Vector Management Division Defence Research and Development EstablishmentGwaliorMadhya Pradesh 474002India

Background:Malaria causes significant morbidity and mortality each *** the past few years,the global malaria cases have been declining and many endem ic countries are heading towards malaria ***,reducing the number of cases seems to be easy than sustained *** to achieve the objective of com plete elimination and maintaining the elimination status,it is necessary to assess the gains made during the recent *** text:With inclining global support and World Health Organisation(WHO)efforts,the control programmes have been im plem ented effectively in many endemic *** the aroused interest and investments into malaria elimination program m es at global level,the am bitious goal o f elimination appears *** interventions have played a pivotal role in malaria contraction,however drug and insecticide resistance,social,dem ographic,cultural and behavioural beliefs and practices,and unreformed health infrastructure could drift back the progress attained so *** such im peding factors coupled with certain region specific factors may jeopardise our ability to abide righteous track to achieve global elimination of malaria *** support beyond the territories is important,but well managed integrated vector managem ent approach at regional and country level using scrupulously selected area specific interventions targeting both vector and parasite along with the com m unity involvem ent is necessary.A brief incline in malaria during 2016 has raised fresh perturbation on whether elimination could be achieved on time or ***:The intervention tools available currently can most likely reduce transmission but clearing of malaria epicentres from where the disease can flare up any time,is not possible without involving local *** maintaining zero malaria transmission and checks on malaria import in declared malaria free countries,and further speeding up of intervent

关键词： Plosm odium Anopheles WHO region Malaria elimination antimalarial resistance Inseaicide resistance Control programme

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