Malaria in the Americas: A model of reemergence

被引：6

作者：

Butler, WP ^{[1
]}

Roberts, DR ^{[1
]}

机构：

[1] USAF, Sch Aerosp Med, Brooks AFB, TX 78235 USA

来源：

MILITARY MEDICINE | 2000年 / 165卷 / 12期

关键词：

D O I：

10.1093/milmed/165.12.897

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Malaria in the Americas is a reemerging health issue. In 1969, the World Health Organization shifted policy from malaria eradication to malaria control. With this shift, vector control (house spraying with dichlorodiphenyltrichloroethane [DDT]) was deemphasized. Since that time, house spray rates have decreased and malaria rates have increased. Using malaria data collected since 1959 by the Pan American Health Organization, this relationship was examined with an ecological regression model. Malaria control was found to be a function of policy, disease burden, and vector control (R-2 = 0.75, P < 0.001). Policy must address both disease burden and vector control, Treatment of disease burden is unquestioned; however, vector control is debated. An argument for the judicious and enlightened resumption of house spraying with DDT is presented.

引用

页码：897 / 902

页数：6

共 47 条

[41]

STOLBERG SG, 1999, NY TIMES 0829

[42]

SUAREZ MF, 1990, J AM MOSQUITO CONTR, V6, P72

[43] From discovery to eradication of schistosomiasis in Japan: 1847-1996 [J].

Tanaka, H ;

Tsuji, M .

INTERNATIONAL JOURNAL FOR PARASITOLOGY, 1997, 27 (12) :1465-1480

[44]

*WHO, 1969, 176 WHO

[45] CHANGING CONCEPTS OF VECTOR CONTROL IN MALARIA ERADICATION [J].

WRIGHT, JW ;

FRITZ, RF ;

HAWORTH, J .

ANNUAL REVIEW OF ENTOMOLOGY, 1972, 17 :75-&

[46]

Zheng TZ, 1999, AM J EPIDEMIOL, V150, P453, DOI 10.1093/oxfordjournals.aje.a010033

[47] ECOLOGY OF MALARIA VECTORS IN THE AMERICA AND FUTURE-DIRECTION [J].

ZIMMERMAN, RH .

MEMORIAS DO INSTITUTO OSWALDO CRUZ, 1992, 87 :371-383

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