[Geographic approach in malaria control in the central highlands of Madagascar].

F Rakotomanana, I Jeanne, J B Duchemin, V Pietra, L Raharimalala, M L Tombo, F Ariey
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Abstract

Following the severe malaria outbreak in the central highlands in Madagascar in 1986, a vector control program by use DDT pm 75 house-spraying has been implemented to operate in areas located at altitudes between 1000 and 1500 m. Early treatment with chloroquine has also been incorporated in the control program. To detect areas at particular high risk for malaria outbreak the Geographic Information System (GIS) has been applied and tested. The study has shown that the system can be used in malaria surveillance in order to identify areas in which an intense distribution of Anopheles funestus can be anticipated and, hence, targeted in spraying campaigns. The system may also be used to monitor changes in anti-malarial drug resistance, in addition, to control of other vector-born diseases.

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[马达加斯加中部高地疟疾控制的地理方法]。
1986年马达加斯加中部高地发生严重疟疾疫情后,在海拔1000米至1500米的地区实施了使用滴滴涕pm 75喷洒的病媒控制规划。用氯喹进行早期治疗也已纳入控制规划。为了发现疟疾爆发风险特别高的地区,已经应用和测试了地理信息系统。这项研究表明,该系统可用于疟疾监测,以便确定可以预测到狐按蚊密集分布的地区,从而成为喷洒运动的目标。该系统还可用于监测抗疟疾药物耐药性的变化,此外还可用于控制其他媒介传播的疾病。
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