The feasibility of malaria elimination in South Africa
Abstract Background Following the last major malaria epidemic in 2000, malaria incidence in South Africa has declined markedly. The decrease has been so emphatic that South Africa now meets the World Health Organization (WHO) threshold for malaria elimination. Given the Millennium Development Goal o...
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ftdoajarticles:oai:doaj.org/article:81fe821d8a8645a6ac897a4ff64aa57b 2023-05-15T15:16:13+02:00 The feasibility of malaria elimination in South Africa Maharaj Rajendra Morris Natashia Seocharan Ishen Kruger Philip Moonasar Devanand Mabuza Aaron Raswiswi Eric Raman Jaishree 2012-12-01T00:00:00Z https://doi.org/10.1186/1475-2875-11-423 https://doaj.org/article/81fe821d8a8645a6ac897a4ff64aa57b EN eng BMC http://www.malariajournal.com/content/11/1/423 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-423 1475-2875 https://doaj.org/article/81fe821d8a8645a6ac897a4ff64aa57b Malaria Journal, Vol 11, Iss 1, p 423 (2012) Malaria elimination Feasibility South Africa Vector control Case management Surveillance Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2012 ftdoajarticles https://doi.org/10.1186/1475-2875-11-423 2022-12-31T01:11:10Z Abstract Background Following the last major malaria epidemic in 2000, malaria incidence in South Africa has declined markedly. The decrease has been so emphatic that South Africa now meets the World Health Organization (WHO) threshold for malaria elimination. Given the Millennium Development Goal of reversing the spread of malaria by 2015, South Africa is being urged to adopt an elimination agenda. This study aimed to determine the appropriateness of implementing a malaria elimination programme in present day South Africa. Methods An assessment of the progress made by South Africa in terms of implementing an integrated malaria control programme across the three malaria-endemic provinces was undertaken. Vector control and case management data were analysed from the period of 2000 until 2011. Results Both malaria-related morbidity and mortality have decreased significantly across all three malaria-endemic provinces since 2000. The greatest decline was seen in KwaZulu-Natal where cases decreased from 42,276 in 2000 to 380 in 2010 and deaths dropped from 122 in 2000 to six in 2010. Although there has been a 49.2 % (8,553 vs 4,214) decrease in the malaria cases reported in Limpopo Province, currently it is the largest contributor to the malaria incidence in South Africa. Despite all three provinces reporting average insecticide spray coverage of over 80%, malaria incidence in both Mpumalanga and Limpopo remains above the elimination threshold. Locally transmitted case numbers have declined in all three malaria provinces but imported case numbers have been increasing. Knowledge gaps in vector distribution, insecticide resistance status and drug usage were also identified. Conclusions Malaria elimination in South Africa is a realistic possibility if certain criteria are met. Firstly, there must be continued support for the existing malaria control programmes to ensure the gains made are sustained. Secondly, cross border malaria control initiatives with neighbouring countries must be strongly encouraged and supported ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 11 1 |
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ftdoajarticles |
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English |
topic |
Malaria elimination Feasibility South Africa Vector control Case management Surveillance Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Malaria elimination Feasibility South Africa Vector control Case management Surveillance Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Maharaj Rajendra Morris Natashia Seocharan Ishen Kruger Philip Moonasar Devanand Mabuza Aaron Raswiswi Eric Raman Jaishree The feasibility of malaria elimination in South Africa |
topic_facet |
Malaria elimination Feasibility South Africa Vector control Case management Surveillance Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Following the last major malaria epidemic in 2000, malaria incidence in South Africa has declined markedly. The decrease has been so emphatic that South Africa now meets the World Health Organization (WHO) threshold for malaria elimination. Given the Millennium Development Goal of reversing the spread of malaria by 2015, South Africa is being urged to adopt an elimination agenda. This study aimed to determine the appropriateness of implementing a malaria elimination programme in present day South Africa. Methods An assessment of the progress made by South Africa in terms of implementing an integrated malaria control programme across the three malaria-endemic provinces was undertaken. Vector control and case management data were analysed from the period of 2000 until 2011. Results Both malaria-related morbidity and mortality have decreased significantly across all three malaria-endemic provinces since 2000. The greatest decline was seen in KwaZulu-Natal where cases decreased from 42,276 in 2000 to 380 in 2010 and deaths dropped from 122 in 2000 to six in 2010. Although there has been a 49.2 % (8,553 vs 4,214) decrease in the malaria cases reported in Limpopo Province, currently it is the largest contributor to the malaria incidence in South Africa. Despite all three provinces reporting average insecticide spray coverage of over 80%, malaria incidence in both Mpumalanga and Limpopo remains above the elimination threshold. Locally transmitted case numbers have declined in all three malaria provinces but imported case numbers have been increasing. Knowledge gaps in vector distribution, insecticide resistance status and drug usage were also identified. Conclusions Malaria elimination in South Africa is a realistic possibility if certain criteria are met. Firstly, there must be continued support for the existing malaria control programmes to ensure the gains made are sustained. Secondly, cross border malaria control initiatives with neighbouring countries must be strongly encouraged and supported ... |
format |
Article in Journal/Newspaper |
author |
Maharaj Rajendra Morris Natashia Seocharan Ishen Kruger Philip Moonasar Devanand Mabuza Aaron Raswiswi Eric Raman Jaishree |
author_facet |
Maharaj Rajendra Morris Natashia Seocharan Ishen Kruger Philip Moonasar Devanand Mabuza Aaron Raswiswi Eric Raman Jaishree |
author_sort |
Maharaj Rajendra |
title |
The feasibility of malaria elimination in South Africa |
title_short |
The feasibility of malaria elimination in South Africa |
title_full |
The feasibility of malaria elimination in South Africa |
title_fullStr |
The feasibility of malaria elimination in South Africa |
title_full_unstemmed |
The feasibility of malaria elimination in South Africa |
title_sort |
feasibility of malaria elimination in south africa |
publisher |
BMC |
publishDate |
2012 |
url |
https://doi.org/10.1186/1475-2875-11-423 https://doaj.org/article/81fe821d8a8645a6ac897a4ff64aa57b |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 11, Iss 1, p 423 (2012) |
op_relation |
http://www.malariajournal.com/content/11/1/423 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-423 1475-2875 https://doaj.org/article/81fe821d8a8645a6ac897a4ff64aa57b |
op_doi |
https://doi.org/10.1186/1475-2875-11-423 |
container_title |
Malaria Journal |
container_volume |
11 |
container_issue |
1 |
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1766346508732465152 |