Severe malaria studies: challenge to balance clinical medicine and public health.

摘要

To the Editor-The continued discussion [1] of issues raised in my recent commentary [2] is an example of the tension that exists between the efforts of clinical medicine to improve treatment for severe malaria and public health efforts to control malaria infection and thus prevent malaria-related mortality. This dichotomy has a long history, going back at least to those Indian Medical Service officers of the early twentieth century who espoused either improved chemotherapy (eg, S. P. James) or control of mosquitoes (eg, Ronald Ross).