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美国国会1958年通过了一个在全球加速限期消灭疟疾的规划(到1963年中止该规划),并已花费4亿美元。WHO在1958～1963年执行全球消灭规划阶段花费1500万美元(主要由美国提供)。尽管这个规划实施后发病明显下降,拯救了许多人的生命,但盲目乐观最终仍未达到全球消灭的目的,反而降低了群体的免疫力,并削弱了人们防止暴发流行的应变能力。若不愿再把它视为一场“大的赌博”,今后应该加强疟疾研究,设计因时因地制宜的抗疟策略。
In 1958, the U.S. Congress passed a plan to expedite the global phase-out of malaria (ending the program in 1963) and has spent 400 million U.S. dollars. WHO spent $ 15 million (mainly provided by the United States) in implementing the global elimination plan from 1958 to 1963. Despite the marked decline in incidence and the salvage of the lives of many people after the implementation of this plan, blind optimism eventually failed to achieve the goal of global elimination. Rather, it reduced the population’s immunity and weakened the resilience of people in preventing the outbreak. If you do not wish to see it as a “big gamble,” we should step up research on malaria in the future to design anti-malarial strategies that are tailored to local conditions.