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Deforestation and Malaria in sub-Saharan Africa: an overview

机译:撒哈拉以南非洲的森林砍伐和疟疾概述

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Malaria remains the most complex and overwhelming health problem in sub-Saharan Africa. The disease is compounded by the generally poor social, environmental and economic conditions in the region. Most sub-Saharan African countries are experiencing unprecedented rate of population growth which has led to uncontrolled and unsustainable exploitation of natural resources, especially the forests resources. Through the process of forest clearing, deforestation alters every element of local ecosystems such as microclimate, soil, and aquatic conditions, and most significantly, the ecology of local flora and fauna, including malaria vectors. Mosquitoes are highly sensitive to environmental changes because of deforestation: their survival, density, and distribution are dramatically influenced by small changes in environmental conditions, such as temperature, humidity, and the availability of suitable breeding sites. Changes in mosquito ecology and human behaviour patterns in deforested regions influence the transmission of malaria and deforestation has therefore been shown to increase the risk of malaria transmission in sub-Saharan. Because deforestation is a process that cannot be readily controlled for a variety of political and economic reasons, investigations and assessments of possible impacts of future deforestation will be crucial to minimize the ecological degradation caused by human activities and to control epidemics of malaria. Introduction Malaria remains the most complex and overwhelming health problem, facing humanity with 300 to 500 million cases and 2 to 3 million deaths per year 1 . About 90% of all malaria deaths in the world today occur in sub-Saharan Africa (Figure 1) and this is because majority of infections are caused by Plasmodium falciparum, the most dangerous of the four human malaria parasites (P. falciparum, P. ovale, P. vivax, P.malariae), accounting for an estimated 1.4 to 2.6 million deaths per year in this region 23 . In addition, the most effective malaria vector- the mosquito Anopheles gambiae is the widest spread in the region and the most difficult to control 2 . In some areas of sub-Saharan Africa people receive 200 to 300 infective bites per year 45 . The vector population in sub-Saharan Africa is uniquely effective, with the six species of the Anopheles gambiae complex being the most efficient vectors of human malaria in the region, and often considered the most important in the world. An. funestes is also capable of producing very high inoculation rates in a wide range of geographic, seasonal, and ecological conditions 6 . These vectors have proven effective in transmitting the malaria parasite to humans across the region, in rural and urban areas alike. An. pharoensis is also widely distributed in Africa, geographically and ecologically, and can maintain active transmission of malaria even in the absence of the main malaria vectors 7 . Malaria in sub-Saharan Africa is a problem of dimensions unlike those seen anywhere else in the world today. The magnitude of malaria in the region is affected by a variety of factors, none of which addressed alone is likely to effect a resolution. It is further compounded by the generally poor social, environmental and economic conditions in sub-Saharan Africa. Most sub-Saharan African countries are experiencing unprecedented rate of population growth without any appreciable improvement in the socio-economic status of the populace. There is therefore a high level of poverty and underdevelopment in the region particularly in the rural areas. One major consequence of this situation is uncontrolled and unsustainable exploitation of natural resources, especially the forests resources, which has generated severe environmental, ecological and public health problems including increase in vector-borne diseases like malaria. Forests are among the world’s most important biomes in terms of the area of land surface they cover (approximately 30% of all land - over 3.8 billion
机译:疟疾仍然是撒哈拉以南非洲最复杂,最棘手的健康问题。该地区的社会,环境和经济状况普遍较差,加剧了该病。多数撒哈拉以南非洲国家正经历着前所未有的人口增长率,这导致对自然资源,特别是森林资源的无节制和不可持续的开采。通过砍伐森林,森林砍伐改变了当地生态系统的每个要素,例如小气候,土壤和水生条件,最​​重要的是改变了当地动植物的生态系统,包括疟疾媒介。由于森林砍伐,蚊子对环境变化非常敏感:蚊子的生存,密度和分布受到环境条件(例如温度,湿度和合适的繁殖地点)的微小变化的极大影响。砍伐森林地区的蚊子生态和人类行为模式的变化会影响疟疾的传播,因此,砍伐森林已显示出撒哈拉以南地区疟疾传播的风险增加。由于森林砍伐是一个由于各种政治和经济原因而无法轻易控制的过程,因此,对未来森林砍伐的可能影响进行调查和评估对于最大限度地减少人类活动造成的生态退化和控制疟疾流行至关重要。引言疟疾仍然是最复杂和压倒性的健康问题,面对人类,每年有300至5亿病例,2至300万人死亡1。当今世界上约90%的疟疾死亡发生在撒哈拉以南非洲(图1),这是因为大多数感染是由恶性疟原虫引起的,恶性疟原虫是人类四种疟疾中最危险的疟原虫(恶性疟原虫P.falciparum,P.椭圆形,间日疟原虫,疟原虫),估计占该区域每年死亡1.4至260万23。此外,最有效的疟疾媒介-冈比亚按蚊是该地区最广泛的传播,也是最难控制的2。在撒哈拉以南非洲的某些地区,人们每年受到200到300例传染性叮咬[45]。撒哈拉以南非洲的媒介种群具有独特的效力,冈比亚按蚊群的六种物种是该地区人类疟疾的最有效媒介,通常被认为是世界上最重要的媒介。一个。 Funestes还能够在广泛的地理,季节和生态条件下产生很高的接种率6。这些媒介已被证明可有效地将疟原虫传播给整个地区的农村和城市地区的人类。一个。 pharoensis在非洲也有广泛的地理和生态分布,即使没有主要的疟疾媒介,也可以保持疟疾的主动传播7。撒哈拉以南非洲地区的疟疾是一个规模问题,与当今世界其他任何地方所见的情况不同。该地区疟疾的严重程度受到多种因素的影响,单独解决这些因素均未解决。撒哈拉以南非洲地区总体上较差的社会,环境和经济状况进一步加剧了这种情况。多数撒哈拉以南非洲国家正在经历着前所未有的人口增长速度,而民众的社会经济状况却没有任何明显的改善。因此,该地区特别是农村地区存在着高度的贫困和不发达状况。这种情况的一个主要后果是对自然资源,特别是森林资源的无节制和不可持续的开采,造成了严重的环境,生态和公共卫生问题,包括疟疾等媒介传播疾病的增加。就其覆盖的土地面积而言,森林是世界上最重要的生物群落之一(约占全部土地的30%-超过38亿

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