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Explore the diverse history of malaria in the Americas and the strategies implemented for its control and eradication. From historical milestones to modern interventions, this overview covers key topics such as environmental, social, economic, and political factors. Discover the evolution of malaria control programs, from the Global Malaria Eradication Strategy to the Roll Back Malaria Initiative, and the current challenges faced in achieving sustainable elimination. Learn about interventions like diagnosis, treatment, and reducing human-mosquito contact, alongside the importance of community involvement and health system strengthening. Navigate through the complexities of changing health structures, service accessibility, and the call for collaborative efforts in the fight against malaria.
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History followed different courses for different peoples because of differences among peoples’ environments, not because of biological differences among peoples themselves. Diamond, J.M. (2005) Guns, Germs, and Steel: the fates of human societies.
Environments Ecological Social Economic Political Technological
Reflections • November 6th 1880: Laveran • 1898: Ross, Grassi, Bastianelli, Bignami • Cinchona bark: Fever – Quechua Indians Peru • 17th Century “Jesuit bark” - Rome • 19th Century Malaria throughout Americas • 1902 – Malaria health problem – PAHO • II World War – new antimalarials, DDT • Successes – Americas including Caribbean • 1955 – Global Eradication Program
Malaria Strategies and Goals • Global Malaria Eradication Strategy – Mexico 1955 • Global Malaria Control Strategy – Amsterdam 1992 • Roll Back Malaria Initiative – 1998 • U.N. Millennium Development Goals - 2000
Interventions • Diagnosis (Microscopy, Rapid Diagnostic Tests) • Treatment (Distinct parasites, Drug Resistance) • Reduction Man – Mosquito contact (distinct mosquitoes, Insecticide resistance, Housing, Management breeding sites, Mosquito nets, etc.) • Epidemiologic analysis, Operational research • Community, other sector involvement • Health systems – transfer of responsibility but reduced technical capability
Challenges • Change structure health institutions and systems; • Accessibility, availability health services • Orientation articulation / integration primary health care • Recruitment, training, continuity technical personnel • Sustainability - surveillance, epidemiologic assessments, operational research • Use scientific evidence to adapt interventions and policies • Multiple sector participation, particularly civil society and communities • Migration within and between countries • Burden reduction – “call to arms” – elimination