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Malaria elimination: surveillance and response.

Daniel J Bridges¹, Anna M Winters, Davidson H Hamer

¹Akros Research Lusaka, Zambia.

Pathogens and Global Health

|December 26, 2012

Summary

Global malaria control efforts have significantly reduced cases and deaths. Achieving malaria elimination requires strong surveillance, trained community health workers, and improved diagnostics, despite challenges like drug resistance.

Area of Science:

Global Health
Infectious Disease Epidemiology
Parasitology

Background:

Substantial progress in reducing global malaria morbidity and mortality over the past decade.
Sustained malaria control is crucial to maintain declining trends and pursue elimination goals.
Transitioning from universal coverage to targeted case detection and response is key for low-burden areas.

Purpose of the Study:

To highlight the strategic shift towards malaria elimination in low-burden settings.
To emphasize the essential components for successful malaria case detection and response.
To underscore the ongoing need for advanced diagnostics and therapies in malaria eradication efforts.

Main Methods:

Review of current malaria control and elimination strategies.

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Analysis of requirements for effective surveillance and response systems.

Assessment of the role of community health workers and field diagnostics.

Consideration of challenges such as drug and insecticide resistance.

Main Results:

Malaria elimination is an achievable goal in many regions with dedicated strategies.
Strong surveillance, trained community cadres, and sensitive diagnostics are critical for success.
Countries like Zambia are demonstrating progress in implementing elimination support systems.

Conclusions:

Malaria elimination necessitates a transition to localized, case-based strategies.
Continued innovation in diagnostics and antimalarial treatments is vital for global malaria eradication.
Integrated approaches combining surveillance, community engagement, and technological advancements are essential.