ON THE EPIDEMIOLOGY OF COMPLICATED VIVAX MALRIA.

A V Kondrashin, A M Boranova, L F Morozovz, A K Tokmalaev, E V Stepanova, E N Morozov, F S Saipov
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Abstract

A larger number of publications on cases of. complicated vivax malaria in the world literature can be. explained by a set of diffeetit faciors'. There has been unification of the definition of complicated tertian malaria allowing ihe clinical nianagement of a patient and the reporting of complicated cases of P.vivax to be improved. The, epidemiological characteristics of complicated vivax malaria are determined by a diversity of geographical, races, variants, gentyies and phenotypes of tertian malaia due to intensive internal and external migration. Chloroquine resistance and primaquine refractoriness contribute to increased local malaria transmission due to a rise in cases of reinfection during-epidemics of vivax malaria. From an epidemiological point of view, the increasing number of complicated vivax malaria cases indicates the untimely detection and treatment of malaria patients, the low level of medical personnel training and a negative attitude of the local population towards the recommendations of national malaria programs for prevention measures. Unsolved problems can substantially retard the time to achieve malaria elimination.

复杂间日疟流行病学研究。
大量的关于案例的出版物。复杂的间日疟在世界文献中可得。用一组不同的面来解释。复杂疟疾的定义已经统一,从而使患者的临床管理和间日疟复杂病例的报告得到改善。复杂间日疟的流行病学特征是由密集的内部和外部迁移导致的间日疟的地理、种族、变异、基因和表型的多样性决定的。由于间日疟疾流行期间再感染病例的增加,氯喹耐药性和伯氨喹难治性加剧了疟疾在当地的传播。从流行病学的角度来看,复杂的间日疟疾病例数量的增加表明疟疾患者的发现和治疗不及时,医务人员的培训水平较低,当地居民对国家疟疾预防措施规划的建议持消极态度。未解决的问题会大大拖延实现消除疟疾的时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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