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Building Momentum for a Malaria-Free India
Himanshu Gupta1, Anup R Anvikar2,3, Praveen K Bharti2,3
1Department of Biotechnology, Institute of Applied Sciences & Humanities, GLA University, Mathura, Uttar Pradesh, India.
The American Journal of Tropical Medicine and Hygiene
|April 1, 2025
Summary
India
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Parasitology
Background:
- India's National Malaria Elimination Program has seen success but faces a resurgence in malaria cases.
- Factors contributing to the rise include pandemic-related healthcare disruptions, drug and insecticide resistance, and challenges in detecting carriers.
- Specific challenges include under-detection of asymptomatic malaria cases and parasites with pfhrp2 deletions.
Purpose of the Study:
- To analyze the factors contributing to the recent increase in malaria cases in India.
- To identify challenges hindering the National Malaria Elimination Program's progress.
- To inform strategies for achieving malaria elimination by 2030.
Main Methods:
- Review of malaria surveillance data from 2023-2024.
- Analysis of contributing factors including drug/insecticide resistance and diagnostic challenges.
- Assessment of the impact of the coronavirus disease 2019 pandemic on malaria control efforts.
Main Results:
- Malaria cases have risen in 2023-2024, reversing previous declines.
- Drug and insecticide resistance are significant challenges.
- Under-detection of asymptomatic carriers and pfhrp2-deleted parasites complicates control efforts.
Conclusions:
- Addressing the rise in malaria cases requires tackling drug and insecticide resistance.
- Improved detection of asymptomatic carriers and pfhrp2-deleted parasites is crucial.
- Sustained efforts are needed to achieve India's goal of malaria elimination by 2030.
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