Abstract

Malaria continues to be one of the major threats to human health, affecting 300-500 million people and causing the death of approximately 1 million individuals per year, mostly children under 5 years of age (WHO 2010b). Human malaria is caused by five species of the genus Plasmodium, namely Plasmodium falciparum, Plasmodium vivax, Plasmodium ovale, Plasmodium malariae and Plasmodium knowlesi, whereas the latter is found exclusively in the Southeast Asian region (Cox-Singh & Singh 2008). Current estimates suggest that approximately 2.4 billion people are at risk of stable or unstable Plasmodium falciparum transmission, similar global estimates are also available for P. vivax, and while there is considerably less mortality attributed to this species, its geographical reach is far greater. An estimated 2.9 billion people are at risk for vivax malaria, with an estimated 80 million to 300 million clinical cases annually (Guerra et al., 2010). These global estimates are a direct result of an increasing ability to collate and assimilate large data sets that also allow the monitoring of trends in malaria incidence and parasite prevalence. P. falciparum is strongly associated with a potentially fatal form of the disease, although recent reports indicate an underestimation of the severity of P. vivax infections (Alexandre et al., 2010). Efforts were made to eradicate malaria and although these were successful over large geographical areas, they did not succeed in tropical Africa or in many parts of Asia. In the past few years, malaria has once again attracted more attention partly because of increasing recognition that the malaria prevalence in sub-Saharan Africa has increased during the past decade. The main cause of the worsened malaria situation recorded in recent years has been the spread of drug-resistant parasites, which has led to rising malariaassociated mortality, especially in east Africa.

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