Document Detail


The persistent problem of malaria: addressing the fundamental causes of a global killer.
MedLine Citation:
PMID:  18583009     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Despite decades of global eradication and control efforts and explosive global economic development, malaria is the most important vector-borne disease of our day, killing more people today than 40 years ago and affecting millions worldwide, particularly poor residents of tropical regions. Global eradication efforts from the 1950s through the 1980s largely failed, leaving vector and parasite resistance in their wake. The persistence of malaria and the magnitude of its effects call for an action paradigm that links the traditional proximal arenas of intervention with malaria's fundamental causes by addressing the environmental, economic, and political dimensions of risk. We explore the more distal determinants of malaria burden that create underlying vulnerabilities, evaluating malaria risk as a function of socioeconomic context, environmental conditions, global inequality, systems of health care provision, and research. We recommend that future action to combat malaria be directed by a broad-spectrum approach that meaningfully addresses both the proximal and fundamental causes of this disease.
Authors:
Leeanne Stratton; Marie S O'Neill; Margaret E Kruk; Michelle L Bell
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-06-26
Journal Detail:
Title:  Social science & medicine (1982)     Volume:  67     ISSN:  0277-9536     ISO Abbreviation:  Soc Sci Med     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-07-28     Completed Date:  2009-03-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8303205     Medline TA:  Soc Sci Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  854-62     Citation Subset:  IM    
Affiliation:
Weill Cornell Medical College, New York, NY, USA. les2005@med.cornell.edu
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MeSH Terms
Descriptor/Qualifier:
Antimalarials / therapeutic use
Developing Countries
Ecology*
Environment
Humans
Malaria* / drug therapy,  economics,  epidemiology,  prevention & control
Poverty*
Risk Factors
Sociology, Medical*
Vulnerable Populations
World Health*
World Health Organization
Chemical
Reg. No./Substance:
0/Antimalarials

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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