Malaria elimination in Haiti by the year 2020: an achievable goal?

Malaria Journal

Meeting Report

Natael Fenelon¹  Paul Adrien¹  Dana M Parke²  Dwayne Baxa³  Marcus J Zervos⁴  Linda Kaljee⁴  Philippe Brasseur⁵  Paul Jacques Boncy⁶  Christian Raccurt⁶  Alexandre Existe⁶  Eric Prieur⁷  Patricia Jean Henry⁸  Jean Frantz Lemoine⁹  Maha A El Badry^1,10  Connie J Mulligan^1,10  Tamar E Carter^1,10  V Madsen Beau de Rochars^1,10  Chelsea Lutz^1,10  Massimiliano S Tagliamonte^1,10  Bernard A Okech^1,10  John B Dame^1,10 

[1] Direction d’Épidémiologie, de Laboratoire et de Recherches, Port-au-Prince, Haiti;Henry Ford Health System, 2799 W. Grand Blvd, 48202, Detroit, MI, USA;Henry Ford Health System, 2799 W. Grand Blvd, 48202, Detroit, MI, USA;Oakland University William Beaumont School of Medicine, 48309, Rocheste, MI, USA;Henry Ford Health System, 2799 W. Grand Blvd, 48202, Detroit, MI, USA;Wayne State University, 48201, Detroit, MI, USA;Institute of Research for Development, Dakar, Senegal;Laboratoire National de Santé Publique, Rue Chardonnier #2 and Delmas 33, Port-au-Prince, Haiti;Laboratoire Vac4All, Hôpital Cochin, 75014, Paris, France;Point focal OHMaSS/Programme National de Contrôle de la Malaria, Port-au-Prince, Haiti;Programme National de Contrôle de la Malaria, Port-au-Prince, Haiti;University of Florida, 32611, Gainesville, FL, USA;

关键词: Malaria;    Elimination;    Haiti;   

DOI  :  10.1186/s12936-015-0753-9

 received in 2015-05-08, accepted in 2015-05-27,  发布年份 2015

来源: Springer

【 摘 要 】

Haiti and the Dominican Republic, which share the island of Hispaniola, are the last locations in the Caribbean where malaria still persists. Malaria is an important public health concern in Haiti with 17,094 reported cases in 2014. Further, on January 12, 2010, a record earthquake devastated densely populated areas in Haiti including many healthcare and laboratory facilities. Weakened infrastructure provided fertile reservoirs for uncontrolled transmission of infectious pathogens. This situation results in unique challenges for malaria epidemiology and elimination efforts. To help Haiti achieve its malaria elimination goals by year 2020, the Laboratoire National de Santé Publique and Henry Ford Health System, in close collaboration with the Direction d’Épidémiologie, de Laboratoire et de Recherches and the Programme National de Contrôle de la Malaria, hosted a scientific meeting on “Elimination Strategies for Malaria in Haiti” on January 29-30, 2015 at the National Laboratory in Port-au-Prince, Haiti. The meeting brought together laboratory personnel, researchers, clinicians, academics, public health professionals, and other stakeholders to discuss main stakes and perspectives on malaria elimination. Several themes and recommendations emerged during discussions at this meeting. First, more information and research on malaria transmission in Haiti are needed including information from active surveillance of cases and vectors. Second, many healthcare personnel need additional training and critical resources on how to properly identify malaria cases so as to improve accurate and timely case reporting. Third, it is necessary to continue studies genotyping strains of Plasmodium falciparum in different sites with active transmission to evaluate for drug resistance and impacts on health. Fourth, elimination strategies outlined in this report will continue to incorporate use of primaquine in addition to chloroquine and active surveillance of cases. Elimination of malaria in Haiti will require collaborative multidisciplinary approaches, sound strategic planning, and strong ownership of strategies by the Haiti Ministère de la Santé Publique et de la Population.

【 授权许可】

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© Boncy et al. 2015. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.