老挝人民民主共和国的疟疾流行病学、监测和消除对策。

IF 8.1 1区 医学 Infectious Diseases of Poverty Pub Date : 2024-05-23 DOI:10.1186/s40249-024-01202-7
Chawarat Rotejanaprasert, Vilayvone Malaphone, Mayfong Mayxay, Keobouphaphone Chindavongsa, Virasack Banouvong, Boualam Khamlome, Phoutnalong Vilay, Viengxay Vanisavaeth, Richard J Maude
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引用次数: 0

摘要

背景:老挝人民民主共和国在疟疾控制方面取得了重大进展。国家战略计划列出了雄心勃勃的目标,旨在到 2025 年在北部所有省份消灭恶性疟原虫和间日疟原虫疟疾,到 2030 年在全国消灭疟疾。本文概述了老挝人民民主共和国的疟疾流行病学、监测和应对系统,强调了在减少传播方面的经验和成就:方法:从国家计划和相关文件中系统地收集了2010-2020年期间有关监测、监控和评估系统、人力资源、基础设施和社区疟疾知识的数据。方法:从国家计划和相关文件中系统地收集了 2010-2020 年期间有关监测、监控和评估系统、人力资源、基础设施和社区疟疾知识的数据,并对收集到的信息进行了综合,讨论了挑战和未来前景:老挝人民民主共和国在各级开展了疟疾控制和消除活动,重点是卫生设施集水区。在减少全国疟疾传播方面取得了重大进展。有针对性的干预措施,如病例管理、病媒控制和社区参与,利用按集水区分层的控制干预措施,促进了疟疾病例的减少。在消除疟疾地区,实施了积极的监测战略,包括病例和病灶调查,以确定和阻止传播。监测系统有助于及时发现和应对疟疾病例,从而能够在高风险地区采取有针对性的干预措施:老挝人民民主共和国的疟疾监测和应对系统在减少传播和推动该国实现消灭疟疾目标方面发挥了至关重要的作用。进口、抗药性和持续支持等挑战需要不断努力。进一步加强监测、改善服务获取途径以及解决传播决定因素是老挝人民民主共和国实现消除疟疾和提高人口健康水平的关键重点领域。
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Malaria epidemiology, surveillance and response for elimination in Lao PDR.

Background: Lao PDR has made significant progress in malaria control. The National Strategic Plans outline ambitious targets, aiming for the elimination of Plasmodium falciparum and P. vivax malaria from all northern provinces by 2025 and national elimination by 2030. This article presents an overview of malaria epidemiology, surveillance, and response systems in Lao PDR, emphasizing experiences and achievements in transmission reduction.

Methods: Data on surveillance, monitoring and evaluation systems, human resources, infrastructure, and community malaria knowledge during 2010-2020 were systematically gathered from the national program and relevant documents. The collected information was synthesized, and discussions on challenges and future prospects were provided.

Results: Malaria control and elimination activities in Lao PDR were implemented at various levels, with a focus on health facility catchment areas. There has been significant progress in reducing malaria transmission throughout the country. Targeted interventions, such as case management, vector control, and community engagement, using stratification of control interventions by catchment areas have contributed to the decline in malaria cases. In elimination areas, active surveillance strategies, including case and foci investigation, are implemented to identify and stop transmission. The surveillance system has facilitated timely detection and response to malaria cases, enabling these targeted interventions in higher-risk areas.

Conclusions: The malaria surveillance and response system in Lao PDR has played a crucial role in reducing transmission and advancing the country towards elimination. Challenges such as importation, drug resistance, and sustaining support require ongoing efforts. Further strengthening surveillance, improving access to services, and addressing transmission determinants are key areas of focus to achieve malaria elimination and enhance population health in Lao PDR.

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来源期刊
Infectious Diseases of Poverty
Infectious Diseases of Poverty INFECTIOUS DISEASES-
自引率
1.20%
发文量
368
期刊介绍: Infectious Diseases of Poverty is an open access, peer-reviewed journal that focuses on addressing essential public health questions related to infectious diseases of poverty. The journal covers a wide range of topics including the biology of pathogens and vectors, diagnosis and detection, treatment and case management, epidemiology and modeling, zoonotic hosts and animal reservoirs, control strategies and implementation, new technologies and application. It also considers the transdisciplinary or multisectoral effects on health systems, ecohealth, environmental management, and innovative technology. The journal aims to identify and assess research and information gaps that hinder progress towards new interventions for public health problems in the developing world. Additionally, it provides a platform for discussing these issues to advance research and evidence building for improved public health interventions in poor settings.
期刊最新文献
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