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Community-Based Environmental Management Program for Malaria Control in Kampala and Jinja, Uganda;Final rept

机译：乌干达坎帕拉和金贾的疟疾控制社区环境管理方案;最后的审查

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In the early 1990s in cities in sub-Saharan Africa, malaria was controlled using environmental management (EM) for vector control. What this approach lacked in effectiveness, compared with the residual insecticides that appeared on the scene in the 1950s, was largely made up by its sustainability. Yet today malaria control in Africa is focused almost entirely on the use of antimalarials and insecticide-treated bednets, not on biophysical environmental modifications or on strengthened social systems to perform effective environmental manipulation. While drugs and insecticides are extremely effective weapons, their initial promise has been undermined by the development of resistance and growing concerns for some about the long-term costs and environmental impact. This report describes the activities and findings of a two-year study designed to assess the strengths and weaknesses of a community-based EM program for malaria control in two Ugandan cities: Kampala and Jinja. The overall goal was to test the use of EM in urban areas and, if successful, generate useful lessons for expanding EM in these and other cities.

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