消除疟疾已成为联合国会员国的目标:可持续发展目标的具体目标3.3.3(SDG3)。尽管采取了措施,疟疾发病率上升的惊人趋势危及这一目标的实现。全球范围内,2020年,在85个疟疾流行国家估计有2.41亿疟疾病例,从2019年的2.27亿增加。疟疾病例发生率为59,这意味着实际上没有发生数字变化,与基线2015相比。CRISPR/Cas9技术的共同发明者JenniferDoudna声称,CRISPR具有减轻甚至消除可持续发展目标中心问题的潜力。同样,CRISPR/Cas9介导的蚊子靶向基因驱动(MGD)被认为是扭转这一趋势并为消除疟疾努力提供动力的潜在手段。本文评估了世界卫生组织转基因蚊子(WHOGMM)关键路径框架的两个关键要素:社区和利益相关者的参与(无法采用广泛使用的框架,公众的分割,“旁观者”状态,和指导方针的可操作性)和监管环境(一般法,\'金发姑娘困境\',和调节模式)有关以蚊子为导向的基因驱动(MGD)的进展。根据评估结果,作者认为,CRISPR/Cas-9介导的MGD不会有助于实现SDG3(目标3.3),尽管技术的潜力无可争议。这项研究涉及知识状态,法律框架,和立法机构,2022年11月。
Elimination of malaria has become a United Nations member states target: Target 3.3 of the sustainable development goal no. 3 (SDG3). Despite the measures taken, the attainment of this goal is jeopardized by an alarming trend of increasing malaria case incidence. Globally, there were an estimated 241 million malaria cases in 2020 in 85 malaria-endemic countries, increasing from 227 million in 2019. Malaria case incidence was 59, which means effectively no changes in the numbers occurred, compared with the baseline 2015. Jennifer Doudna-co-inventor of CRISPR/Cas9 technology-claims that CRISPR holds the potential to lessen or even eradicate problems lying in the centre of SDGs. On the same note, CRISPR/Cas9-mediated mosquito-targeting gene drives (MGD) are perceived as a potential means to turn this trend back and put momentum into the malaria elimination effort. This paper assessed two of the critical elements of the World Health Organization Genetically modified mosquitoes (WHO GMM) Critical Pathway framework: the community and stakeholders\' engagement (inability to employ widely used frameworks, segmentation of the public, \'bystander\' status, and guidelines operationalization) and the regulatory landscape (lex generali, \'goldilocks dilemma\', and mode of regulation) concerning mosquito-oriented gene drives (MGD) advances. Based on the assessment findings, the author believes that CRISPR/Cas-9-mediated MGD will not contribute to the attainment of SDG3 (Target 3.3), despite the undisputable technology\'s potential. This research pertains to the state of knowledge, legal frameworks, and legislature, as of November 2022.