title: Beyond mobile populations: a critical review of the literature on malaria and population mobility and suggestions for future directions.
abstract: BACKGROUND
  Although population mobility is frequently cited as a barrier to malaria elimination, a comparatively small body of literature has attempted to systematically examine this issue. This article reviews the literature on malaria and mobile populations in order to critically examine the ways that malaria elimination experts perceive the risks surrounding population mobility. The article brings in perspectives from HIV/AIDS and other infectious disease control programmes working in areas of high population mobility. The article aims to move beyond the current tendency to identify mobile populations as a risk group and suggests ways to reconceptualize and respond to population mobility within malaria elimination.
  
  
  METHODS
  The review was commissioned by the Asia Pacific Malaria Elimination Network (APMEN). Searches were made using PubMed, ProQuest, Google and Google Scholar. The review includes English language published peer-reviewed literature and grey literature published up to November 2013.
  
  
  RESULTS
  The review identified three key themes in the literature: mobility, economic development and shifting land use; concerns about accessing mobile populations; and imported and border malaria. The review found that the literature treats mobile populations as a homogenous entity and is yet to develop a more accurate understanding of the true risks surrounding population mobility. Concerns about accessing mobile populations are overstated, and methods are suggested for working collaboratively with mobile populations. Finally, the review found that many concerns about mobile populations and imported malaria would be more productively framed as border health issues.
  
  
  CONCLUSIONS
  The focus on mobile populations is both excessive and insufficiently examined within the current literature. By its very nature, population mobility requires malaria elimination programmes to look beyond isolated localities and demographic groups to respond to the interconnections that mobility creates between localities and population groups. Malaria programmes will gain greater clarity by refocusing the discussion away from mobile populations as a risk group and toward mobility as a system involving interconnected localities and multiple demographic groups. Rather than focusing on mobile populations as a risk group and a barrier to elimination, malaria elimination programmes ought to develop collaborative community engagement efforts in border areas and regions of high population mobility and where imported malaria is of concern.
authors.affiliation: School of Population Health, Herston Campus, University of Queensland, Brisbane, Qld 4006, Australia. catherine.smith@uq.edu.au.
authors.forename: Catherine
authors.initials: C
authors.lastname: Smith
authors.forename: Maxine
authors.initials: M
authors.lastname: Whittaker
mesh_terms: D060740:Disease Eradication; D006801:Humans; D008288:Malaria / Q000453:epidemiology* / Q000517:prevention & control*; D011157:Population Dynamics; D057236:Travel Medicine
references.citation: Science. 2012 Oct 12;338(6104):267-70
references.pmid: 23066082
references.citation: Southeast Asian J Trop Med Public Health. 2003 Mar;34(1):48-53
references.pmid: 12971514
references.citation: Southeast Asian J Trop Med Public Health. 2004 Mar;35(1):48-52
references.pmid: 15272744
references.citation: Bull Soc Pathol Exot. 2010 Dec;103(5):340-5
references.pmid: 20526828
references.citation: Lancet. 2011 Aug 27;378(9793):750-2
references.pmid: 21820168
references.citation: Southeast Asian J Trop Med Public Health. 2013;44 Suppl 1:201-30; discussion 306-7
references.pmid: 24159833
references.citation: Soc Sci Med. 1993 Nov;37(9):1155-67
references.pmid: 8235755
references.citation: Southeast Asian J Trop Med Public Health. 1999;30 Suppl 4:i-iv, 1-101
references.pmid: 10935286
references.citation: Malar J. 2009 Dec 10;8:287
references.pmid: 20003266
references.citation: Lancet. 2013 Sep 7;382(9895):900-11
references.pmid: 23594387
references.citation: Southeast Asian J Trop Med Public Health. 2009 Nov;40(6):1148-57
references.pmid: 20578448
references.citation: Southeast Asian J Trop Med Public Health. 2004 Dec;35(4):834-9
references.pmid: 15916077
references.citation: Southeast Asian J Trop Med Public Health. 2012 Nov;43(6):1313-25
references.pmid: 23413693
references.citation: PLoS Med. 2013;10(3):e1001398
references.pmid: 23472056
references.citation: Malar J. 2011 May 17;10:129
references.pmid: 21586154
references.citation: Malar J. 2013 Apr 10;12:121
references.pmid: 23575209
references.citation: Emerg Themes Epidemiol. 2006 May 04;3:3
references.pmid: 16674820
references.citation: BMC Public Health. 2008 Oct 01;8:344
references.pmid: 18828901
references.citation: Lancet. 2011 Feb 12;377(9765):599-609
references.pmid: 21269678
references.citation: Clin Infect Dis. 2004 Jun 15;38(12):1742-8
references.pmid: 15227621
references.citation: Southeast Asian J Trop Med Public Health. 2013;44 Suppl 1:46-72; discussion 306-7
references.pmid: 24159830
references.citation: Soc Sci Med. 1993 Nov;37(9):1147-54
references.pmid: 8235754
references.citation: Malar J. 2011 May 09;10:117
references.pmid: 21554711
references.citation: Lancet. 2011 Aug 27;378(9793):795-803
references.pmid: 21820166
references.citation: Emerg Infect Dis. 2000 Mar-Apr;6(2):103-9
references.pmid: 10756143
references.citation: J Med Assoc Thai. 2005 Sep;88(9):1293-301
references.pmid: 16536119
references.citation: Malar J. 2010 Aug 19;9:237
references.pmid: 20723223
references.citation: Southeast Asian J Trop Med Public Health. 2013;44 Suppl 1:1-45; discussion 306-7
references.pmid: 24159829
references.citation: Lancet. 2000 Aug 5;356(9228):495-9
references.pmid: 10981904
references.citation: Indian J Med Res. 2011 Jan;133:76-82
references.pmid: 21321423
references.citation: Telemed J E Health. 2008 Aug;14(6):520-4
references.pmid: 18729749
references.citation: Am J Trop Med Hyg. 2011 Jul;85(1):26-33
references.pmid: 21734120
references.citation: Lancet Infect Dis. 2004 Jun;4(6):327-36
references.pmid: 15172341
references.citation: Malar J. 2011 May 10;10:120
references.pmid: 21554744
references.citation: Lancet. 2010 Nov 6;376(9752):1566-78
references.pmid: 21035842
references.citation: Malar J. 2011 Aug 04;10:225
references.pmid: 21816085
references.citation: Health Hum Rights. 2006;9(2):10-38
references.pmid: 17265753
references.citation: Am J Public Health. 2000 Oct;90(10):1515-20
references.pmid: 11029980
references.citation: Malar J. 2007 Apr 24;6:48
references.pmid: 17456231
references.citation: Malar J. 2013 Jun 27;12:219
references.pmid: 23805843
references.citation: Proc Natl Acad Sci U S A. 2010 Jul 6;107(27):12222-7
references.pmid: 20566870
references.citation: Malar J. 2013 Sep 17;12:329
references.pmid: 24044424
references.citation: Malar J. 2013 Aug 06;12:276
references.pmid: 23919593
references.citation: Southeast Asian J Trop Med Public Health. 2013;44 Suppl 1:166-200; discussion 306-7
references.pmid: 24159832
references.citation: Malar J. 2010 Apr 18;9:98
references.pmid: 20398416
references.citation: Biomed Res Int. 2013;2013:363417
references.pmid: 23865048
references.citation: PLoS Negl Trop Dis. 2009 Jul 21;3(7):e481
references.pmid: 19621090
references.citation: Malar J. 2012 Jun 18;11:205
references.pmid: 22703541
references.citation: Acta Trop. 2008 Jun;106(3):207-12
references.pmid: 18471797
references.citation: Acta Trop. 2012 Mar;121(3):227-39
references.pmid: 21382335
references.citation: Bull World Health Organ. 2010 Mar;88(3):232-4
references.pmid: 20428393
references.citation: Malar J. 2011 Jul 26;10:204
references.pmid: 21787434
references.citation: Malar J. 2010 Apr 12;9:93
references.pmid: 20380748