Within the context of combined interventions, malaria vaccine may provide additional value in malaria prevention. Stakeholders’ perspectives are thus critical for informed recommendation of the vaccine in Tanzania. This paper presents the views of stakeholders with regards to malaria vaccine in 12 Tanzanian districts.
Larval source management strategies can play an important role in malaria elimination programmes. Effective larval source management requires tools for identifying geographic foci of vector proliferation and malaria transmission where these efforts may be concentrated. Previous studies have relied on surface topographic wetness to indicate hydrological potential for vector breeding sites, but this is unsuitable for karst (limestone) landscapes such as Zanzibar where water flow, especially in the dry season, is subterranean and not controlled by surface topography.
Seasonal increases in malaria continue in hotspots in Zanzibar. Mass screening and treatment (MSAT) may help reduce the reservoir of infection; however, it is unclear whether rapid diagnostic tests (RDT) detect a sufficient proportion of low-density infections to have impact on subsequent transmission. This study found that highly sensitive point-of-care diagnostic tools for detection of all human malaria species are needed to make MSAT an effective strategy in malaria pre-elimination settings.
Author: Abass AK, Al-Mafazy AW, Ali A, Bergström B, Björkman J, cook J, Garimo I, Gosling R, Mårtensson A, McElroy P, Molteni F, Msellem M, Ramsan M, Vonk M, Xu W
Publication date: November 2014
Source: Journal of Infectious Diseases