title: The history of 20th century malaria control in Peru.
abstract: Malaria has been part of Peruvian life since at least the 1500s. While Peru gave the world quinine, one of the first treatments for malaria, its history is pockmarked with endemic malaria and occasional epidemics. In this review, major increases in Peruvian malaria incidence over the past hundred years are described, as well as the human factors that have facilitated these events, and concerted private and governmental efforts to control malaria. Political support for malaria control has varied and unexpected events like vector and parasite resistance have adversely impacted morbidity and mortality. Though the ready availability of novel insecticides like DDT and efficacious medications reduced malaria to very low levels for a decade after the post eradication era, malaria reemerged as an important modern day challenge to Peruvian public health. Its reemergence sparked collaboration between domestic and international partners towards the elimination of malaria in Peru.
authors.affiliation: Division of Parasitic Diseases and Malaria, Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta Georgia, USA. Sean.Griffing@gmail.com.
authors.forename: Sean M
authors.initials: SM
authors.lastname: Griffing
authors.forename: Dionicia
authors.initials: D
authors.lastname: Gamboa
authors.forename: Venkatachalam
authors.initials: V
authors.lastname: Udhayakumar
mesh_terms: D000962:Antimalarials / Q000266:history / Q000627:therapeutic use*; D003140:Communicable Disease Control / Q000266:history* / Q000379:methods*; D004358:Drug Therapy / Q000266:history; D006291:Health Policy; D049673:History, 20th Century; D006801:Humans; D008288:Malaria / Q000188:drug therapy / Q000453:epidemiology* / Q000266:history* / Q000517:prevention & control; D010568:Peru / Q000453:epidemiology; D011803:Quinine
chemical_list: D000962:Antimalarials; D011803:Quinine