Back to Search Start Over

The changing epidemiology of malaria elimination: new strategies for new challenges.

Authors :
Cotter C
Sturrock HJ
Hsiang MS
Liu J
Phillips AA
Hwang J
Gueye CS
Fullman N
Gosling RD
Feachem RG
Source :
Lancet (London, England) [Lancet] 2013 Sep 07; Vol. 382 (9895), pp. 900-11. Date of Electronic Publication: 2013 Apr 15.
Publication Year :
2013

Abstract

Malaria-eliminating countries achieved remarkable success in reducing their malaria burdens between 2000 and 2010. As a result, the epidemiology of malaria in these settings has become more complex. Malaria is increasingly imported, caused by Plasmodium vivax in settings outside sub-Saharan Africa, and clustered in small geographical areas or clustered demographically into subpopulations, which are often predominantly adult men, with shared social, behavioural, and geographical risk characteristics. The shift in the populations most at risk of malaria raises important questions for malaria-eliminating countries, since traditional control interventions are likely to be less effective. Approaches to elimination need to be aligned with these changes through the development and adoption of novel strategies and methods. Knowledge of the changing epidemiological trends of malaria in the eliminating countries will ensure improved targeting of interventions to continue to shrink the malaria map.<br /> (Copyright © 2013 Elsevier Ltd. All rights reserved.)

Details

Language :
English
ISSN :
1474-547X
Volume :
382
Issue :
9895
Database :
MEDLINE
Journal :
Lancet (London, England)
Publication Type :
Academic Journal
Accession number :
23594387
Full Text :
https://doi.org/10.1016/S0140-6736(13)60310-4