The changing epidemiology of malaria elimination: New strategies for new challenges
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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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Other authors have estimated that the thick blood smear only detects and controls 20-50% of cases.
“Other authors have estimated that TBS only detects and controls 20–50% of cases [33,36].”
From Diagnostic Accuracy of a Thick Blood Smear Compared to qPCR for Malaria Associated with Pregnancy in Colombia (2023) · cites this paper as [36]
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- Authors
- Cotter, C., Sturrock, H. J., Hsiang, M. S., Liu, J., Phillips, A. A., Hwang, J., Gueye, C. S., Fullman, N., Gosling, R. D., & Feachem, R. G.
- Affiliations
- University of California, San Francisco (US)
- Centers for Disease Control and Prevention (US)
- Corresponding author
- Cotter, Chris
- ORCID
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2013-09
- Volume
- 382
- Issue
- 9895
- Pages
- 900-911
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- PMC
- PMC10583787
- OpenAlex
- W2161535656
- Cited by
- 671
- References
- 124
- Citations by year
- 2026: 7 · 2025: 34 · 2024: 55 · 2023: 39 · 2022: 49 · 2021: 58 · 2020: 53 · 2019: 42 · 2018: 43 · 2017: 64 · 2016: 57 · 2015: 77 · 2014: 69 · 2013: 24
- FWCI
- 10.71
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Bill and Melinda Gates Foundation
- National Institutes of Health (CC999999)
- Centers for Disease Control and Prevention
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Travel-related health issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Mosquito-borne diseases and control
- Keywords
- malaria elimination, malaria epidemiology, imported malaria, Plasmodium vivax, adult male, malaria control interventions, intervention targeting
- MeSH terms
- Adolescent, Adult, Aged, Civilization, Cross-Sectional Studies, Developing Countries, Emigration and Immigration, Female, Humans, Malaria, Male, Middle Aged, Occupational Diseases, Plasmodium malariae, Population Dynamics, Cluster Analysis, Malaria, Falciparum, Malaria, Vivax, Africa South of the Sahara, Plasmodium ovale, Young Adult
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