Ranking of elimination feasibility between malaria-endemic countries

Summary Experience gained from the Global Malaria Eradication Program (1955–72) identified a set of shared technical and operational factors that enabled some countries to successfully eliminate malaria. Spatial data for these factors were assembled for all malaria-endemic countries and combined to...

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Bibliographic Details
Published in:The Lancet (British edition) 2010-11, Vol.376 (9752), p.1579-1591
Main Authors: Tatem, Andrew J, Dr, Smith, David L, Prof, Gething, Peter W, PhD, Kabaria, Caroline W, Snow, Robert W, Prof, Hay, Simon I, DPhil
Format: Article
Language:English
Subjects:
Biological and medical sciences
Endemic Diseases - prevention & control
Feasibility Studies
General aspects
Human protozoal diseases
Humans
Infectious diseases
Internal Medicine
Malaria
Malaria, Falciparum - epidemiology
Malaria, Falciparum - prevention & control
Malaria, Falciparum - transmission
Malaria, Vivax - epidemiology
Malaria, Vivax - prevention & control
Malaria, Vivax - transmission
Medical sciences
Parasitic diseases
Plasmodium falciparum
Plasmodium vivax
Protozoal diseases
Series
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Summary:Summary Experience gained from the Global Malaria Eradication Program (1955–72) identified a set of shared technical and operational factors that enabled some countries to successfully eliminate malaria. Spatial data for these factors were assembled for all malaria-endemic countries and combined to provide an objective, relative ranking of countries by technical, operational, and combined elimination feasibility. The analysis was done separately for Plasmodium falciparum and Plasmodium vivax , and the limitations of the approach were discussed. The relative rankings suggested that malaria elimination would be most feasible in countries in the Americas and Asia, and least feasible in countries in central and west Africa. The results differed when feasibility was measured by technical or operational factors, highlighting the different types of challenge faced by each country. The results are not intended to be prescriptive, predictive, or to provide absolute assessments of feasibility, but they do show that spatial information is available to facilitate evidence-based assessments of the relative feasibility of malaria elimination by country that can be rapidly updated.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(10)61301-3