Abstract
Towards a research agenda for global malaria elimination
Highlights
Child mortality on the Kenyan coast has been reduced [5], and, over the past few years, there has been a fall of 50–75% in malaria incidence in Zanzibar [6], Eritrea [7], Ethiopia and Rwanda [8]
Policy-makers are keen to believe that this reduction of malaria cases and of malaria mortality is the result of their activity and the mass interventions that have been made possible through unprecedented funding for malaria control
Malaria Journal 2008, 7(Suppl 1):S1 http://www.malariajournal.com/content/7/S1/S1 captured the imagination of the scientific community working on malaria, which moved in a short space of time from a realistic awareness of the enormity of the complex and seemingly insoluble problem of malaria control to cautious optimism that elimination by 2025 is a real possibility – the Emperor's New Clothes, perhaps?
Summary
Figures of malaria incidence/prevalence or of disease burden, are mostly based on reports of 'presumptive diagnosis', the accuracy of which is 50% at best and less than 5% in situations of low endemicity. A general pattern is emerging, based on recent publications and public statements and despite this inadequacy of the baseline figures, that malaria incidence is decreasing worldwide and, in some cases, this has been documented by reliable data.
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