Changes in Malaria Epidemiology in Africa and New Challenges for Elimination.

Journal Article (Journal Article;Review)

Although the burden of Plasmodium falciparum malaria is gradually declining in many parts of Africa, it is characterized by spatial and temporal variability that presents new and evolving challenges for malaria control programs. Reductions in the malaria burden need to be sustained in the face of changing epidemiology whilst simultaneously tackling significant pockets of sustained or increasing transmission. Large-scale, robust surveillance mechanisms that measure rather than estimate the actual burden of malaria over time from large areas of the continent where such data are lacking need to be prioritized. We review these fascinating developments, caution against complacency, and make the case that improving the extent and quality of malaria surveillance is vital for Africa as she marches on towards elimination.

Full Text

Duke Authors

Cited Authors

  • Nkumama, IN; O'Meara, WP; Osier, FHA

Published Date

  • February 2017

Published In

Volume / Issue

  • 33 / 2

Start / End Page

  • 128 - 140

PubMed ID

  • 27939610

Pubmed Central ID

  • PMC6995363

Electronic International Standard Serial Number (EISSN)

  • 1471-5007

Digital Object Identifier (DOI)

  • 10.1016/


  • eng

Conference Location

  • England