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Commentary: malaria control in the 1990s

P I Trigg1, A V Kondrachine

  • 1Division of Control of Tropical Diseases, World Health Organization, Geneva, Switzerland.

Bulletin of the World Health Organization
|June 6, 1998
PubMed
Summary
This summary is machine-generated.

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Indian journal of malariology·1997

The Global Malaria Eradication Campaign achieved success but faced challenges like drug resistance. A new Malaria Control Strategy, emphasizing primary healthcare and flexible programs, is now proving effective in several countries.

Area of Science:

  • Global Health
  • Tropical Medicine
  • Epidemiology

Background:

  • The 1955 Global Malaria Eradication Campaign utilized DDT and antimalarial drugs, successfully eradicating malaria in developed nations and parts of Asia and Latin America.
  • The campaign's scope was limited in tropical Africa due to feasibility concerns.

Observation:

  • Programmatic successes were not sustained due to centralized, time-limited approaches.
  • Emerging challenges included insecticide resistance in vectors and drug resistance in malaria parasites.

Findings:

  • A shift to a global Malaria Control Strategy in 1992/1993, rooted in primary healthcare, promotes flexible, decentralized disease control.
  • This new strategy focuses on the rational use of available tools and has shown positive impacts in countries like Brazil, China, and Thailand.
Keywords:
DecentralizationDiseasesInternational AgenciesMalaria--prevention and controlOrganization And AdministrationOrganizationsParasitic DiseasesProgramsUnWhoWorld

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Implications:

  • Current tools are effective for malaria control, as demonstrated in various regions.
  • Sustained long-term investment is crucial to apply these tools effectively in high-morbidity areas, especially sub-Saharan Africa.