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Is Malaria Elimination an Achievable and Worthwhile Objective? (pp. 1-30) $100.00
Authors:  (Amal A. El-Moamly, Parasitology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt)
Abstract:
When World Health Organization (WHO) in 2007 announced that global eradication of malaria was a goal, which would like to be seen soon in our lifetime, some said that this proposition was naive.
Since then, experts have been divided about this objective. Should the international community realize, support, and work for the vision of a malaria-free world? Some proposed that when confronting malaria, elimination is worthy, challenging, and just possible. But it must be pursued with balance, humility, and rigorous analysis. Others see that leadership in malaria control has been absent in recent years and that WHO has failed to rise to give the malaria community essential direction. They also say the noble aims of civic organizations such as Gates Foundation‘s to eliminate the diseases could lead to dangerous swings in funding and political commitment, in malaria and elsewhere, and that elimination efforts must not distract from existing effective control of the disease in endemic nations. More risks may outweigh the benefits of eradication leading to resurgence of malaria if commitment wanes. Emergence of new diseases as a result of the global eradication may also constitute a biosafety risk. Others think malaria will only be truly eliminable (or eradicable) when an effective vaccine is fully available. Scientists continue to discuss which objective is more valuable in defeating malaria; is it malaria control or elimination.
This chapter puts malaria elimination under the microscope. It presents an overview of the history of malaria elimination and the difference between elimination and control. The chapter discusses the controversial issues about malaria eradication, finds out if malaria elimination an achievable and worthwhile objective? The chapter also provides,
summarizes the risks, benefits, and challenges of elimination, and examines the technical, operational, and financial feasibility that countries must assess before proceeding. Besides, the chapter discusses the adopted strategy at the current stage to eliminate malaria and the priorities for the future, including the diagnostic, treatment, and research priorities that must be addressed. 


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Is Malaria Elimination an Achievable and Worthwhile Objective? (pp. 1-30)