title: Designing a sustainable strategy for malaria control?
abstract: Malaria in the 21st century is showing signs of declining over much of its distribution, including several countries in Africa where previously this was not thought to be feasible. Yet for the most part the strategies to attack the infection are similar to those of the 1950s. Three major Journals have recently drawn attention to the situation, stressing the importance of research, describing the successes and defining semantics related to control. But there is a need to stress the importance of local sustainability, and consider somewhat urgently how individual endemic countries can plan and implement the programmes that are currently financed, for the most part, by donor institutions. On an immediate basis research should be more focused on a data driven approach to control. This will entail new thinking on the role of local infrastructure and in training of local scientists in local universities in epidemiology and field malariology so that expanded control programmes can become operational. Donor agencies should encourage and facilitate development of career opportunities for such personnel so that local expertise is available to contribute appropriately.
authors.affiliation: Department of Molecular Microbiology and Immunology and Johns Hopkins Malaria Research Institute, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. cshiff@jhsph.edu
authors.forename: Clive
authors.initials: C
authors.lastname: Shiff
authors.forename: Phil
authors.initials: P
authors.lastname: Thuma
authors.forename: David
authors.initials: D
authors.lastname: Sullivan
authors.forename: Sungano
authors.initials: S
authors.lastname: Mharakurwa
mesh_terms: D000349:Africa / Q000453:epidemiology; D003140:Communicable Disease Control / Q000379:methods*; D003906:Developing Countries; D004812:Epidemiologic Methods; D006291:Health Policy; D006801:Humans; D007391:International Cooperation; D008288:Malaria / Q000188:drug therapy* / Q000453:epidemiology / Q000517:prevention & control*