Evidence-Based Malaria Control and Elimination in the Amazon: Input from the International Center of Excellence in Malaria Research Network in Peru and Brazil
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Authors
Ferreira, Marcelo U.Gamboa, Dionicia
Torres, Katherine
Rodriguez-Ferrucci, Hugo
Soto-Calle, Veronica E.
Pardo, Karim
Fontoura, Pablo S.
Tomko, Sheena S.
Gazzinelli, Ricardo T.
Conn, Jan E.
Castro, Marcia C.
Llanos-Cuentas, Alejandro
Vinetz, Joseph M.
Issue Date
2022-10-01
Metadata
Show full item recordJournal
American Journal of Tropical Medicine and HygieneDOI
10.4269/ajtmh.21-1272Additional Links
https://pubmed.ncbi.nlm.nih.gov/36228907/Abstract
Malaria remains endemic in 17 countries in the Americas, where 723,000 cases were reported in 2019. The majority (>90%) of the regional malaria burden is found within the Amazon Basin, which includes nine countries and territories in South America. Locally generated evidence is critical to provide information to public health decision makers upon which the design of efficient and regionally directed malaria control and elimination programs can be built. Plasmodium vivax is the predominant malaria parasite in the Amazon Basin. This parasite species appears to be more resilient to malaria control strategies worldwide. Asymptomatic Plasmodiuminfections constitute a potentially infectious reservoir that is typically missed by routine microscopy-based surveillance and often remains untreated. The primary Amazonian malaria vector, Nyssorhynchus (formerly Anopheles) darlingi, has changed its behavior to feed and rest predominantly outdoors, reducing the efficiency of core vector control measures such as indoor residual spraying and distribution of long-lasting insecticide-treated bed nets. We review public health implications of recent field-based research carried out by the Amazonia International Center of Excellence in Malaria Research in Peru and Brazil. We discuss the relative role of traditional and novel tools and strategies for better malaria control and elimination across the Amazon, including improved diagnostic methods, new anti-relapse medicines, and biological larvicides, and emphasize the need to integrate research and public health policymaking.Type
info:eu-repo/semantics/articleRights
info:eu-repo/semantics/openAccessAttribution-NonCommercial-ShareAlike 4.0 International
Language
spaISSN
00029637EISSN
14761645Sponsors
National Institutes of Healthae974a485f413a2113503eed53cd6c53
10.4269/ajtmh.21-1272
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- Creative Commons