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Safeguarding malaria control gains in Africa through ‘species sanitation’ and structural resilience

2025-09-03Recensão Acesso aberto
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dc.contributor.authorOkumu, Fredros
dc.contributor.authorOdero, Joel O.
dc.contributor.authorCharlwood, Jacques Derek
dc.contributor.authorKnols, Bart G. J.
dc.contributor.authorMonroe, April
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.pblElsevier Science B.V., Amsterdam.
dc.date.accessioned2026-01-28T18:21:01Z
dc.date.available2026-01-28T18:21:01Z
dc.date.issued2025-09-03
dc.descriptionFunding Information: F.O.O. is supported by funding received from the Gates Foundation (grant no. INV-018280 ). The findings, opinions, and conclusions within this publication are those of the authors and do not necessarily reflect positions or policies of the Gates Foundation. Publisher Copyright: © 2025 The Authors
dc.description.abstractTo maintain effective malaria control, endemic countries must reinforce their short-term commodity-based approaches with sustainable, longer-term strategies. In Africa, where only a few highly-efficient Anopheles vectors drive most malaria transmission, we propose a two-tier strategy to safeguard control gains. First, aggressively pursue an expanded interpretation of species sanitation by targeting ecological vulnerabilities of primary vectors to suppress or eliminate them. Second, gradually build structural resilience through improved housing and environmental management. Future innovations, like gene-drive mosquitoes and longer-lasting vaccines, could further amplify impact and enhance resilience in poor communities. This layered strategy must rest on human-centred policies, increased domestic funding, cross-sector partnerships and resilient health systems, anchored in longer-term planning beyond the usual 5-year cycles. Ultimately, countries could preserve control gains, despite limited external financing.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent14
dc.format.extent1042395
dc.identifier.doi10.1016/j.pt.2025.07.004
dc.identifier.issn1471-4922
dc.identifier.otherPURE: 130719159
dc.identifier.otherPURE UUID: d0dafdf0-c444-476a-9d92-3366a1d1462c
dc.identifier.otherScopus: 105012414786
dc.identifier.otherWOS: 001570781800005
dc.identifier.otherPubMed: 40750511
dc.identifier.urihttp://hdl.handle.net/10362/199837
dc.identifier.urlhttps://www.scopus.com/pages/publications/105012414786
dc.language.isoeng
dc.peerreviewedyes
dc.subjectmalaria control
dc.subjectspecies sanitation
dc.subjectstructural resilience
dc.subjectParasitology
dc.subjectInfectious Diseases
dc.subjectSDG 3 - Good Health and Well-being
dc.titleSafeguarding malaria control gains in Africa through ‘species sanitation’ and structural resilienceen
dc.typereview
degois.publication.firstPage720
degois.publication.issue9
degois.publication.lastPage733
degois.publication.titleTrends in Parasitology
degois.publication.volume41
dspace.entity.typePublication
rcaap.rightsopenAccess

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