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Review
. 2010 Nov 6;376(9752):1566-78.
doi: 10.1016/S0140-6736(10)61270-6. Epub 2010 Oct 28.

Shrinking the malaria map: progress and prospects

Richard G A Feachem  1 , Allison A Phillips, Jimee Hwang, Chris Cotter, Benjamin Wielgosz, Brian M Greenwood, Oliver Sabot, Mario Henry Rodriguez, Rabindra R Abeyasinghe, Tedros Adhanom Ghebreyesus, Robert W Snow
Affiliations
Review

Shrinking the malaria map: progress and prospects

Richard G A Feachem et al. Lancet. .

Abstract

In the past 150 years, roughly half of the countries in the world eliminated malaria. Nowadays, there are 99 endemic countries-67 are controlling malaria and 32 are pursuing an elimination strategy. This four-part Series presents evidence about the technical, operational, and financial dimensions of malaria elimination. The first paper in this Series reviews definitions of elimination and the state that precedes it: controlled low-endemic malaria. Feasibility assessments are described as a crucial step for a country transitioning from controlled low-endemic malaria to elimination. Characteristics of the 32 malaria-eliminating countries are presented, and contrasted with countries that pursued elimination in the past. Challenges and risks of elimination are presented, including Plasmodium vivax, resistance in the parasite and mosquito populations, and potential resurgence if investment and vigilance decrease. The benefits of elimination are outlined, specifically elimination as a regional and global public good. Priorities for the next decade are described.

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Figures

Figure 1
Figure 1
Categorisation of countries as malaria free, eliminating malaria, or controlling malaria, 2010
Figure 2
Figure 2
Factors that determine technical feasibility of elimination
Figure 3
Figure 3
Categorisation of countries according to whether human malaria is predominantly caused by Plasmodium falciparum, Plasmodium vivax, or both P falciparum and P vivax, 2010
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References

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