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Global Warming and Malaria

สุพัตรา ทองรุ่งเกียรติ; เสฏฐวุฒิ แก้ววิเศษ; สมชัย บวรกิตติ; Supatra Thongrungkiat; Setthawut Keawviset; Somchai Bovornkitti;
Date: 2552
Abstract
The global temperature has increased by 0.74 ± 0.18 °C (1.33 ± 0.32 °F ) during the past century. The same period has seen an increase in natural disasters and disease outbreaks. Reviews of the evidence of links between climate change and human health suggest that a warmer climate could result in increases in mosquito-borne diseases like malaria due to increased reporting of malaria cases in temperate climates and malaria epidemics in upland areas. Within the range of survivable temperatures, warmer temperatures reduce the duration of the extrinsic cycle of malaria parasites in mosquito vectors. Therefore, higher temperatures should result in higher rates of malaria transmission. Mathematical-model estimations suggest that more deaths will be attributable from malaria. However, during the past decade, the number of malaria cases has not changed markedly, with 300-500 million cases per annum and > 1-3 million deaths.The complex natural history of malaria transmission involves interactions between humans, anopheline vectors, and malaria parasites. Many different factors influence these three primary components, including climatic, ecological, environmental, socio-economic and human behavioral factors. Thus, malaria transmission may not simply be affected only by global warming; the relative importance of all the factors involved should be considered jointly. Measures to control malaria–developing new preventive methods, improving diagnosis, more effective treatment should all be encouraged and supported. An analysis of the impact of global warming on malaria has implications for the effects of global warming on other disease outbreaks, i.e., that they may not occur, or if they do, they may not be as serious as some predict. However, disease surveillance systems must be closely monitored by epidemiologists if global warming persists. There is an urgent need for ongoing public debate regarding what, if any, action should be taken to reduce future global warming, and the development of more holistic information about the epidemiology of disease in this context.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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