TY - JOUR
T1 - The changing epidemiology of malaria elimination
T2 - New strategies for new challenges
AU - Cotter, Chris
AU - Sturrock, Hugh J W
AU - Hsiang, Michelle S.
AU - Liu, Jenny
AU - Phillips, Allison A.
AU - Hwang, Jimee
AU - Gueye, Cara Smith
AU - Fullman, Nancy
AU - Gosling, Roly D.
AU - Feachem, Richard G A
N1 - Funding Information:
Despite the growing importance of imported malaria, the largest international funder for malaria control—the Global Fund to Fight AIDS, Tuberculosis and Malaria—allocates only a small proportion of its malaria funding to multicountry proposals. 145 Further, since the global financial crisis, reliance on funding from international donors is less certain. 2 New regional and cross-border funding mechanisms are needed to support continued progress in the 34 malaria-eliminating countries. A coordinated malaria control effort with endemic neighbours should be a component of all strategic plans implemented by malaria-eliminating countries.
PY - 2013
Y1 - 2013
N2 - 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.
AB - 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.
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U2 - 10.1016/S0140-6736(13)60310-4
DO - 10.1016/S0140-6736(13)60310-4
M3 - Review article
C2 - 23594387
AN - SCOPUS:84883558894
SN - 0140-6736
VL - 382
SP - 900
EP - 911
JO - The Lancet
JF - The Lancet
IS - 9895
ER -