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Malaria: A Devastating Public Heath Concern

Malaria: Actors in the War

US pre-eradication
before 1951
US post-eradication
1951 to 2000
CDC today
Gates Foundation
Global Fund
US government



"Between 1957 and 2003, in the United States, 63 outbreaks of locally transmitted mosquito-borne malaria have occurred; in such outbreaks, local mosquitoes become infected by biting persons carrying malaria parasites (acquired in endemic areas) and then transmit malaria to local residents." [1]


      

After U.S. malaria eradication, the focus of the CDC shifted towards surveillance, and in 1952, the CDC was no longer a member of the National Malaria Eradication Program.  The CDC’s role has remained one of surveillance in the U.S. and of assistance in underdeveloped areas of the world.  In 1962 with the publication of Silent Spring, Rachel Carson’s book denouncing the use of DDT and outlining its impacts on ecosystems, DDT came under a cloud of criticism.  While this chemical had been instrumental in combating malaria a decade earlier, it was soon to be banned.  While DDT helped to kill off the vector responsible for malaria transmission, it also had more long-lasting impacts.  Measures such as drainage and removal of mosquito breeding sites, and likely even insecticide spraying within homes, where the likelihood of the pesticide entering the environment is very low, had few long term side effects.  Through our own eradication of malaria, we discovered some mechanisms that worked, and others that proved less effective.  If we will learn from our past and help others in need now is something that we will see today and in the future.   

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[1] http://www.cdc.gov/Malaria/facts.htm accessed on 5/1/06


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