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[afro-nets] Mosquito/Malaria Control (43)

Mosquito/Malaria Control (43)
-----------------------------

Dear Mr. Nesler,

This is in response to your 'challenge' of a place in the world
that has controlled malaria without the broad use of insecti-
cides.

Here is a link for a paper that documents the suppression of ma-
laria transmission in Northern Rhodesia in the 1930s and 1940s
using an integrated program with a focus on environmental man-
agement:

Efficacy and cost-effectiveness of environmental management for
malaria control
By Jürg Utzinger, Yesim Tozan and Burton H. Singer
Submitted to: Tropical Medicine and International Health ?
11/05/2001

Adobe PDF file (29 pp. 176 kB):
http://wws.princeton.edu/chw/papers/malaria.pdf

There are also well documented stories of malaria being 'con-
trolled' (actually a better word is suppressed when the risk of
new infections is reduced) in India, Malaysia, Indonesia and ur-
ban areas of Africa before insecticides, unfortunately, became
the central focus of anti-malaria programs. The history of anti-
malaria programs shows that an integrated (using more than one
intervention) approach with a focus on environmental management
is the most sustainable means of suppressing malaria transmis-
sion, especially in areas where transmission is intense. The use
of an insecticide intensively and extensively in an area of in-
tense transmission will eventually lead to resistance and is not
the 'magic bullet' solution that many people would like to be-
lieve.

Are you in the insecticide application business Mr. Nesler? You
list 'West Coast Aerial Applicators' after your name.

Derek Willis
mailto:willis@Princeton.EDU

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