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【繁體】蚊之色變

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内容簡介

人類與蚊子的戰爭持續千年,
每年有數百萬人死於蚊子傳播的疾病,
包括:瘧疾、登革熱、屈公熱、腦膜腦炎、黃熱病、絲蟲病。

作者蕭孟芳博士結合研究與醫生實務專業,和非洲進行「蚊子外交」的心路歷程,以科學實驗破解坊間黑心驅蚊商品的不實功效,傳授正確科普知識。

蚊子與科學的Q&A
使用化學武器殺蚊、滅蚊的代價?
生物武器以物剋物的滅蚊功效?
基因改造蚊子將使生態遭逢浩劫?
長效含藥蚊帳是防蚊抗蟲利器?
長效含藥窗門簾是驅蚊殺蟲新寵?
被醜化的「敵避」在市場上有冤難伸?
蚊子真的害怕天然植物精油嗎?

本書特色

  
★蚊子科普小百科
★蕭孟芳教授多年行醫及瘧疾防治的經驗結晶
★洋溢科學研究的嚴謹與熱誠,而且人文關懷與省思令人動容。
★由前衛生署署長李明亮教授、陽明大學陳正成教授、馬偕醫學院與楊明大學卓文隆教授、長庚大學陳維鈞教授、中興大學杜武俊教授、臺灣大學蔡坤憲助理教授,撰文寫序,誠摯推薦。
★二十六篇散文(請參目錄楷體字)分散於Chapter1~10,娓娓道來蕭孟芳教授遠赴非洲的聖多美及普林西比從事瘧疾防治的心路歷程。
★十篇科普正文(請參目錄明體字),為Chapter1~10,深入淺出剖析蚊子研究的歷史與未來、習性、蟲媒疫病與人類歷史、吸引蚊子的體質、化學方法剋蚊、生物科技基因改造蚊子、蚊子的傳染病剖析。

作者簡介

作者介紹蕭孟芳

學歷
國防醫學院 醫學系 學士 
英國倫敦大學 臨床熱帶醫學系 碩士
英國倫敦大學 臨床熱帶醫學系 哲學博士

經歷
英國曼徹斯特科技大學 分子生化實驗室 訪問教授
國防醫學院 熱帶醫學教授及預防醫學研究所所長
弘光科技大學 感染免疫學及營養醫學教授及學術副校長
光田綜合醫院 感染科專科醫師及醫學研究部主任

現任
國立陽明大學 醫學系熱帶醫學科 教授兼主任
國立陽明大學 臨床醫學研究所 合聘教授
國立陽明大學 國際衛生學程 副主任

著作
英文著作
國際醫學期刊七十餘篇

中文著作
禽流感防疫總動員必備手冊、身心靈三合一:健康全方位、感染症免疫學、簡明臨床寄生蟲學、解讀瘧疾 擊退瘧疾:百年省思 世紀挑戰

中文譯作
趣味簡明臨床微生物學、圖解微生物學、圖解血液學、圖解醫學微生物學與感染症、熱帶醫學與寄生蟲學圖譜 、寄生蟲學彩色圖譜:蠕蟲學暨原蟲學

目錄

推薦序
國際視野 臺灣之光/李明亮
聖國瘧疾 清除曙光/陳正成
醫療奉獻 人生哲理/卓文隆
蚊學科普 經典著作/陳維鈞
蚊學文學 理性感性/杜武俊
理論實務 學以致用/蔡坤憲

致謝
一路走來 點滴在心

Chapter1 蚊種起源 萬蟲之王
大地被遺忘的子民
被忽略的熱帶醫學
氣候暖化與病媒蚊
蚊子的歷史與未來

Chapter2 傳記蚊學 多姿多彩
都要怪蚊子惹的禍
政客比蚊子還可惡
蚊子的習性與嗜好

Chapter3 蟲媒疫病 風聲鶴唳
臺灣瘧疾清除奇蹟
藥鹽清除淋巴絲蟲
奎寧金雞納樹傳奇
大器晚成的青蒿素
瘧疾疫苗曙光乍現
擊退登革來日方長
病毒腦炎方興未艾
蚊子對人類的荼毒

Chapter4 嗅覺獵物 適者生存
蚊子不要愛我親我
何以蚊子如此愛我

Chapter5 生物防治 環保剋蚊
咖啡山下的瓷玫瑰
遺世桃源普林西比
蚊子的天敵與剋星

Chapter6 化學殺蟲 無所不毒
含藥蚊帳防蚊新寵
開啟新的生命出口
蚊子出招人類敗退
化武新招對抗蚊子

Chapter7 生物科技 扮演上帝
藉上帝之手殺蚊子
人與蚊的科幻戰爭

Chapter8 驅蚊誘蚊 兩面手法
打破精油驅蚊迷思
小黑蚊的商機無窮
尋尋覓覓防蚊利器

Chapter9 蚊言啟示 頓悟人生
隨蚊觀天下看人生
放緩腳步品味人生
關於蚊子的狂想曲

Chapter10 蚊滿天下 疫病流行
少點急躁多點穩重
史懷哲知道也難過
白色巨塔外的省思
蚊子的傳染病剖析

後記
蚊子與我 邂逅非洲

參考文獻

自序/導讀

推薦序

國際視野 臺灣之光


瘧疾是世界三大傳染病之一(另兩種是愛滋病與結核病),全球有40%的人口生活在瘧疾流行區,每年約有100萬人死於瘧疾,其中90%是非洲小孩。擊退瘧疾是世界衛生組織千禧年八大發展目標之一。十多年前,非洲聖多美普林西比瘧疾高度流行,宗主國葡萄牙放任不管,巴西力有未逮,世界衛生組織束手無策。蕭教授於2000年6月率團考察聖多美並適時提出協助聖多美瘧疾防治計畫,我時任衛生署署長,非常支持這個相當有意義的國際人道醫療援助,並於2002年7月親身訪問聖多美時,與聖方衛生部就瘧疾防治正式簽備忘錄。臺灣協助聖多美瘧疾防治之初期工作(2003-2005)是以室內殘效噴藥(indoor residual spraying)為主,同一時間,尚有其他國際組織分別推廣使用長效含藥蚊帳(long-lasting insecticide-treated nets)及針對預防孕婦罹患瘧疾的間歇預防性治療( intermittent preventive treatment)。

有鑑於瘧疾防治是一整合性的國際合作,但我方初期的單打獨鬥與聖多美的其他國際抗瘧組織幾乎不相往來,蕭教授於2007年受命赴聖多美擔任瘧疾防治駐地總主持人,協調其他國際組織(全球基金、葡萄牙、巴西)分工合作,共同為聖多美清除瘧疾而努力。蕭教授所領導的臺灣抗瘧團隊在聖多美除了密切監視瘧蚊抗藥性外,並建立瘧疾診斷參考實驗室,有效治療並追蹤瘧疾病患。同時,構建完整的瘧疾疫情通報系統,防止瘧疾敗部復活,連續三年(2007-2010)使聖多美瘧疾的發病率及死亡率均大幅減少95%,抗瘧成果不僅被世界衛生組織瘧疾2011年報引用,並贏得國際社會對臺灣人道援助的極度肯定與讚揚,認為聖多美是非洲少數進入瘧疾肅清期的國家之一。

蕭教授發現聖多美的甘比亞瘧蚊因施行室內殘效噴藥多年而演化出吸血行為的改變,由深夜室內的吸血尖峰時段移向夜晚(提早)或清晨(延後)的屋外偏好,這是瘧疾防治的一個警訊,也是過度依賴使用殺蟲劑的後果,在藥物壓力的選擇下,瘧蚊總會找到生命的出口。瘧蚊為求生存,必須適應環境而改變吸血習性,將使瘧疾防治面臨新的考驗與挑戰。

《蚊之色變》是一本蚊子科普小百科,不僅有邏輯嚴謹的科學論述,亦充滿幽默詼諧的人文觸動,反映出蕭教授多年來在第三世界參與國際醫療服務悲天憫人的情懷。蕭教授二十多年默默地為第三世界醫療奉獻,謙虛為懷,從未自我宣揚或接受表揚,以一個知識分子的良知娓娓道出三十多年從事熱帶醫學教學、研究與服務的心歷路程,希望對年輕的學子有所啟發,將關心與愛心付之行動,讓世界每一個需要醫療援助的角落都看得到臺灣之光。

李明亮
臺灣健康服務協會理事長
前慈濟大學校長
前衛生署署長

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