Malaria in the Americas: A model of reemergence

W. P. Butler; D. R. Roberts

doi:10.1093/milmed/165.12.897

Malaria in the Americas: A model of reemergence

W. P. Butler^*, D. R. Roberts

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

Malaria in the Americas is a reemerging health issue. In 1969, the World Health Organization shifted policy from malaria eradication to malaria control. With this shift, vector control (house spraying with dichlorodiphenyltrichloroethane [DDT]) was deemphasized. Since that time, house spray rates have decreased and malaria rates have increased. Using malaria data collected since 1959 by the Pan American Health Organization, this relationship was examined with an ecological regression model. Malaria control was found to be a function of policy, disease burden, and vector control (R² = 0.75, p < 0.001). Policy must address both disease burden and vector control. Treatment of disease burden is unquestioned; however, vector control is debated. An argument for the judicious and enlightened resumption of house spraying with DDT is presented.

Original language	English
Pages (from-to)	897-902
Number of pages	6
Journal	Military Medicine
Volume	165
Issue number	12
DOIs	https://doi.org/10.1093/milmed/165.12.897
State	Published - 2000
Externally published	Yes

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Malaria in the Americas: A model of reemergence

Abstract

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