检索结果-南通市图书馆

malaria epidemiology and stratification of incidence in the Malaria elimination setting in Harari Region,Eastern Ethiopia

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Infectious Diseases of Poverty 2020年第6期9卷 102-103页

作者： Endashaw Esayas Asefa Tufa Fekadu Massebo Abdulhamid Ahemed Ibssa Ibrahim Dereje Dillu Eyuel Asemahegn Bogale Solomon Yared Kebede Deribe 不详 malaria and Neglected Tropical Diseases Research Directorate Armauer Hansen Research InstituteAddis AbabaEthiopia

Background: Ethiopia has shown notable progress in reducing the burden of malaria over the past two decades.Because of this progress,the country has shifted efforts from control to elimination of malaria.This study was conducted to analyse the malaria epidemiology and stratification of incidence in the Malaria elimination setting in eastern Ethiopia.Methods:: A retrospective study was conducted to analyse the epidemiology of malaria by reviewing the district health office data from 2013 to 2019 in Harari Region.In addition,three years of sub-district level malaria data were used to stratify the malaria transmission intensity.malaria interventions(Long-lasting insecticidal nets[LLIN]and indoor residual spraying[IRS])employed were reviewed to analyse the intervention coverage at the Regional level.Descriptive statistics were used to show the malaria transmission in terms of years,season and species of the malaria parasite.Incidence rate per 1000 population and death rate per 1000000 population at risk were computed using the total population of each year.Results: In the Harari Region,malaria incidence showed a more pronounced declining trend from 2017 to 2019.Plasmodium falciparum,P.vivax and mixed infections accounted for 69.2%,30.6%and 0.2%of the cases,respectively.There was an increment in malaria intervention coverage and improved malaria diagnosis.In the year 2019 the coverage of LLIN and IRS in the Region were 93.4%and 85.1%respectively.The annual malaria incidence rate dropped from 42.9 cases per 1000 population in 2013 to 6.7 cases per 1000 population in 2019.malaria-related deaths decreased from 4.7 deaths per 1000000 people annually in 2013 to zero,and there have been no deaths reported since 2015.The malaria risk appears to be heterogeneous and varies between districts.A higher number of malaria cases were recorded in Erer and Jenella districts,which constitute 62%of the cases in the Region.According to the sub-district level malaria stratification,there was shrinkage in the malaria transmission map and

关键词： Malaria elimination Epidemiology Incidence Harari region Ethiopia Interventions Sub-district Stratification

Malaria elimination in Lao PDR:the challenges associated with population mobility

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Infectious Diseases of Poverty 2017年第1期6卷 712-720页

作者： Sengchanh Kounnavong Deyer Gopinath Bouasy Hongvanthong Chanthalone Khamkong Odai Sichanthongthip National Institute of Public Health Ministry of HealthBan KaognotSamsenthai RoadSisattanak DistrictVientianeLao PDR World Health Organization(WHO) Country OfficeNonthaburiThailand Center for malaria Parasitologyand Entomology(CMPE)Ministry of HealthVientianeLao PDR

Although the Lao People’s Democratic Republic(Lao PDR)is comparatively small landlocked country with patterns of both in-and out-migration,its human migration situation has been poorly studied.This is despite all of the country’s 18 provinces sharing both official and unofficial border checkpoints with neighboring countries.Economic reforms in the last decade have seen a gradual increase in the promotion of foreign investment,and main towns and transportation networks have been expanding thus offering new opportunities for livelihoods and economic activities.In the last decade,there has also been a significant reduction of reported malaria cases in Lao PDR and while this is an important prerequisite for eliminating malaria in the country,malaria outbreaks reported in the last four years suggest that population mobility,particularly in the south,is an important factor challenging current control efforts.Bolder investment in social sector spending should be geared towards improving health service provision and utilization,ensuring equitable access to primary health care(including malaria)through efforts to achieve universal health coverage targets.This should be extended to populations that are mobile and migrants.The local government plays a critical role in supporting policy and enforcement issues related to private sector project development in the provinces.Cross-border initiatives with neighboring countries,especially in terms of data sharing,surveillance,and response,is essential.Mechanisms to engage the private sector,especially the informal private sector,needs to be explored within the context of existing regulations and laws.Existing and new interventions for outdoor transmission of malaria,especially in forest settings,for high-risk groups including short-and long-term forest workers and their families,mobile and migrant populations,as well as the military must be combined into integrated packages with innovative delivery mechanisms through social marketing approaches.This should happen at multiple point

关键词： malaria malaria control program Malaria elimination malaria outbreak Migrants Mobile populations Lao PDR

Shrinking the malaria map in China: measuring the progress of the National Malaria elimination Programme

维普期刊数据库

维普期刊数据库更多评论

在线全文

学校读者我要写书评

暂无评论

Infectious Diseases of Poverty 2016年第1期5卷 440-446页

作者： Tao Hu Yao-Bao Liu Shao-Sen Zhang Zhi-Gui Xia Shui-Sen Zhou Jun Yan Jun Cao Zhan-Chun Feng School of Medicine and Health Management Tongji Medical CollegeHuazhong University of Science and TechnologyWuhanHubeiPeople’s Republic of China Bureau of Disease Prevention and Control National Health and Family Planning Commission of the People’s Republic of ChinaBeijingPeople’s Republic of China Jiangsu Institute of Parasitic Diseases WuxiJiangsuPeople’s Republic of China National Institute of Parasitic Diseases Chinese Center for Disease Control and PreventionShanghaiPeople’s Republic of China Public Health Research Center Jiangnan UniversityWuxiPeople’s Republic of China

Background:Remarkable progress has been made towards the elimination of malaria in China since the National Malaria elimination Programme(NMEP)was launched in 2010.The incidence of locally-acquired malaria cases has declined rapidly and endemic areas have also dramatically shrunk.In total,3078 malaria cases were reported in 2014,but only 56 cases were indigenous.In order to further promote the elimination programme,we reviewed the progress of and experiences associated with Malaria elimination in China,and identified the challenges and priorities for the next stage of the programme.Methods:Data were collected from the web-based China Information System for Disease Control and Prevention,and the China Annual Report of Malaria elimination.The progress towards the elimination of malaria from 2010 to 2014 was measured.Results:During the implementation of the NMEP from 2010 to 2014,local malaria incidence has declined continuously,only remaining in the Yunnan Province and Tibet Autonomous Region in 2014.By the end of 2015,75.6%(1636/2163)of the malaria-endemic counties passed the sub-national elimination assessment.The main challenges are cases of border malaria and imported malaria from other countries.Sustainable support and investment from the government,the establishment of an effective surveillance and response system,and risk assessments for the potential reintroduction of malaria are priorities for the next stage of the elimination programme.Conclusions:The NMEP in China has been successfully implemented thus far and the malaria map has shrunk dramatically.The priorities for Malaria elimination are interventions to block transmission at border areas,management of imported malaria cases,preventing malaria reintroduction,capacity building,and sustainability of malaria surveillance and response.

关键词： Malaria elimination Incidence Progress Experiences Challenges China

Priorities of China’s participation in global Malaria elimination:the perspective of malaria endemic countries

维普期刊数据库

维普期刊数据库更多评论

在线全文

学校读者我要写书评

暂无评论

Infectious Diseases of Poverty 2022年第2期11卷 96-96页

作者： Yan Xie Jie Wang Yinuo Sun Xuedan Ke Zheng Xie Jun Cao Yangmu Huang Peking University School of Public Health Beijing 100191China Key Laboratory of National Health and Family Planning Commission on Parasitic Disease Control and Prevention/Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology/WHO Collaborating Centre for Research and Training on Malaria elimination Jiangsu Institute of Parasitic DiseasesWuxi 214064China

Background:malaria is one of the major diseases afecting global health,while progress in malaria control and elimination has stagnated in some endemic countries.China has been certifcated malaria free by World Health Organization in 2021,and will get more involved on global Malaria elimination.Further discussion is needed on how to collaborate with the malaria endemic countries and provide efective help.This study was to investigate the perceptions of malaria endemic countries on China’s contribution to global Malaria elimination and to lay a foundation for further action.Methods:Semi-structured interviews were conducted with key informants including national malaria project managers and technicians from malaria endemic countries.Thematic framework approach was used to analyze the data.Results:malaria endemic countries now face challenges in insufcient funds,technique,products,public health systems and inadequacy of international assistance.They hold a positive attitude towards cooperation with China and identifed experience and technique exchange,personnel training,system building and scientifc research cooperation as prioritized areas.Conclusions:China could make full use of its own advantages in technique transfer,health system improvement,information system construction,and health human resource training and take an active part in global Malaria elimination.

关键词： Malaria elimination Aid efectiveness China

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

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

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 year.In the past few years,the global malaria cases have been declining and many endem ic countries are heading towards Malaria elimination.Nevertheless,reducing the number of cases seems to be easy than sustained elimination.Therefore to achieve the objective of com plete elimination and maintaining the elimination status,it is necessary to assess the gains made during the recent years.Main text:With inclining global support and World Health Organisation(WHO)efforts,the control programmes have been im plem ented effectively in many endemic countries.Given the aroused interest and investments into Malaria elimination program m es at global level,the am bitious goal o f elimination appears feasible.Sustainable 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 far.Ignoring such im peding factors coupled with certain region specific factors may jeopardise our ability to abide righteous track to achieve global elimination of malaria parasite.Although 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 not.Conclusions: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 population.Nevertheless maintaining zero malaria transmission and checks on malaria import in declared malaria free countries,and further speeding up of interventions to stop transmission in elimination countri

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

Challenges in early phase of implementing the 1-3-7 surveillance and response approach in Malaria elimination setting:A field study from Myanmar

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Infectious Diseases of Poverty 2020年第1期9卷 100-100页

作者： Poe Poe Aung Zaw Win Thein Zar Ni Min Hein Kyaw Thet Aung Nwe Oo Mon Nay Yi Yi Linn Aung Thi Khin Thet Wai Thae Maung Maung Duke Global Health Institute Myanmar Program YangonMyanmar 不详

Background:The National Plan for Malaria elimination(NPME)in Myanmar(2016–2030)aims to eliminate indigenous Plasmodium falciparum malaria in six states/regions of low endemicity by 2020 and countrywide by 2030.To achieve this goal,in 2016 the National malaria Control Program(NMCP)implemented the“1-3-7”surveillance and response strategy.This study aims to identify the barriers to successful implementation of the NPME which emerged during the early phase of the“1-3-7”approach deployment.Methods:A mixed-methods study was conducted with basic health staff(BHS)and Vector Born Disease Control Program(VBDC)staff between 2017 and 2018 in six townships of six states/regions targeted for sub-national elimination by 2020.A self-administered questionnaire,designed to assess the knowledge required to implement the“1-3-7”approach,was completed by 544 respondents.Bivariate analysis was performed for quantitative findings and thematic analysis was conducted for qualitative findings using Atals.ti software.Results:Although 83%of participants reported performing the key activities in the“1-3-7”surveillance and response approach,less than half could report performing those activities within 3 days and 7 days(40 and 43%,respectively).Low proportion of BHS correctly identified six categories of malaria cases and three types of foci(22 and 26%,respectively).In contrast,nearly 80%of respondents correctly named three types of case detection methods.Most cited challenges included‘low community knowledge on health’(43%),‘inadequate supplies’(22%),and‘transportation difficulty’(21%).Qualitative data identified poor knowledge of key surveillance activities,delays in reporting,and differences in reporting systems as the primary challenges.The dominant perceived barrier to success was inability to control the influx of migrant workers into target jurisdictions especially in hard-to-reach areas.Interviews with township medical officers and the NMCP team leaders further highlighted the necessity of refresher training for every step in the“1-3-7

关键词： Malaria elimination 1-3-7 approach Surveillance and response Basic health staff Mixed methods Myanmar

China’s 1-3-7 surveillance and response strategy for Malaria elimination: Is case reporting, investigation and foci response happening according to plan?

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Infectious Diseases of Poverty 2015年第1期4卷 465-473页

作者： Shui-Sen Zhou Shao-Sen Zhang Li Zhang Aafje ECRietveld Andrew RRamsay Rony Zachariah Karen Bissell Rafael Van den Bergh Zhi-Gui Xia Xiao-Nong Zhou Richard ECibulskis National Institute of Parasitic Diseases Chinese Center for Disease Control and PreventionKey Laboratory of Parasite and Vector BiologyMOHWHO Collaborating Centre for Tropic DiseasesNational Center for International Research on Tropical Diseases207 Rui Jin Er RoadShanghai200025People’s Republic of China Global malaria Programme World Health Organization20 Avenue AppiaCH-1211Geneva 27Switzerland Special Programme for Research and Training in Tropical Diseases(TDR) 20 Avenue AppiaCH-1211Geneva 27Switzerland Médecins Sans Frontieres Brussels Operational CentreLuxembourgLuxembourg International Union Against Tuberculosis and Lung Disease ParisFrance

Background:The China’s 1-3-7 strategy was initiated and extensively adopted in different types of counties(geographic regions)for reporting of malaria cases within 1 day,their confirmation and investigation within 3 days,and the appropriate public health response to prevent further transmission within 7 days.Assessing the level of compliance to the 1-3-7 strategy at the county level is a first step towards determining whether the surveillance and response strategy is happening according to plan.This study assessed if the time-bound targets of the 1-3-7 strategy were being sustained over time.Such information would be useful to improve implementation of the 1-3-7 strategy in China.Methods:This cross-sectional study involved country-wide programmatic data for the period January 1st 2013 to June 30th 2014.Data variables were extracted from the national malaria information system and included socio-demographic information,type of county,date of diagnosis,date of reporting,date of case investigation,case classification(indigenous,or imported,or unknown),focus investigation,date of reactive case detection(RACD),and date of indoor residual spraying(IRS).Summary statistics and proportions were used and comparisons between groups were assessed using the chi-square test.Level of significance was set at a P-value≤0.05.Results:Of a total of 5,688 malaria cases from 731 counties,there were 55(1%)indigenous cases(only in Type 1 and Type 2 counties)and 5,633(99%)imported cases from all types of counties.There was no delay in reporting malaria cases by type of county.In terms of case investigation,97.5%cases were investigated within 3 days with the proportion of delays(1.5%)in type 2 counties,being significantly lower than type 1 counties(4.1%).Regarding active foci,96.4%were treated by RACD and/or IRS.Conclusions:The performance of 1-3-7 strategy was encouraging but identified some challenges that if addressed can further improve implementation.

关键词： 1-3-7 strategy Malaria elimination Surveillance and response

Cost-effectiveness analysis of malaria rapid diagnostic test in the elimination setting

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Infectious Diseases of Poverty 2020年第5期9卷 122-122页

作者： Yan-Qiu Du Xiao-Xiao Ling Jia-Jie Jin Hua-Yun Zhou Si Zhu Guo-Ding Zhu Wei Wang Jun Cao Jia-Yan Huang Key Lab of Health Technology Assessment National Health CommissionSchool of Public HealthFudan UniversityShanghai 200433China 不详 National Health Commission Key Laboratory of Parasitic Disease Control and Prevention Jiangsu Provincial Key Laboratory of Parasite and Vector Control TechnologyJiangsu Institute of Parasitic DiseasesWuxi 214064China

Background:As more and more countries approaching the goal of Malaria elimination,malaria rapid diagnostic tests(RDT)was recomendated to be a diagnostic strategy to achieve and maintain the statute of malaria free,as it’s less requirments on equipment and experitise than microscopic examination.But there are very few economic evaluations to confirm whether RDT was cost-effective in the setting of Malaria elimination.This research aimed to offer evidence for helping decision making on malaria diagnosis strategy.Methods:A cost-effectiveness analysis was conducted to compare RDT with microscopy examination for malaria diagnosis,by using a decision tree model.There were three strategies of malaria diagnostic testing evaluated in the model,1)microscopy,2)RDT,3)RDT followed by microscopy.The effect indicator was defined as the number of malaria cases treated appropriately.Based on the joint perspective of health sector and patient,costs data were collected from hospital information systems,key informant interviews,and patient surveys.Data collection was conducted in Jiangsu from September 2018 to January 2019.Epidemiological data were obtained from local malaria surveillance reports.A hypothetical cohort of 300000 febrile patients were simulated to calculate the total cost and effect of each strategy.One-way,two-way,and probabilistic sensitivity analysis were performed to test the robustness of the result.Results:The results showed that RDT strategy was the most effective(245 cases)but also the most costly(United States Dollar[USD]4.47 million)compared to using microscopy alone(238 cases,USD 3.63 million),and RDT followed by microscopy(221 cases,USD 2.75 million).There was no strategy dominated.One-way sensitivity analysis reflected that the result was sensitive to the change in labor cost and two-way sensitivity analysis indicated that the result was not sensitive to the proportion of falciparum malaria.The result of Monte Carlo simulation showed that RDT strategy had higher effects and higher cost than other strategi

关键词： Cost-effectiveness analysis Monte Carlo simulation Malaria elimination Rapid diagnostic test Microscopy

Poverty and malaria in the Yunnan province, China

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Infectious Diseases of Poverty 2014年第1期3卷 302-305页

作者： Yan Bi Shilu Tong School of Public Health and Social Work Institute of Health and Biomedical InnovationQueensland University of TechnologyVictoria Park RoadKelvin GroveBrisbaneAustralia

Poverty and malaria appear to have an intertwined link.This paper aims to define the relationship between poverty and malaria in Yunnan,China,and to make recommendations for future research in this important area.Data on malaria prevalence and the population’s income in each county between 2005 and 2010 were obtained from the Yunnan Center for Disease Control and Prevention and the Yunnan Bureau of Statistics,respectively.Geographic mapping shows an apparent spatial convergence of poverty and the incidence of malaria at a county level,and suggests that poverty may be one of the drivers of malaria transmission in Yunnan.Future research should focus on:1.measuring and quantifying the relationship between poverty and the malaria burden at the individual,community,county and regional level in Yunnan;and 2.developing the GIS-based spatial decision support system(SDSS)framework in malaria endemic areas,particularly along the border areas in Yunnan.

关键词： malaria Poverty Spatial and temporal distribution International border area Malaria elimination