A country on the verge of malaria elimination--the Kingdom of Saudi Arabia.

Significant headway has been made in the global fight against malaria in the past decade and as more countries enter the elimination phase, attention is now focused on identifying effective strategies to shrink the malaria map. Saudi Arabia experienced an outbreak of malaria in 1998, but is now on t...

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Main Authors: Michael Coleman, Mohammed H Al-Zahrani, Marlize Coleman, Janet Hemingway, Abdiasiis Omar, Michelle C Stanton, Eddie K Thomsen, Adel A Alsheikh, Raafat F Alhakeem, Phillip J McCall, Abdullah A Al Rabeeah, Ziad A Memish
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4175080?pdf=render
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author Michael Coleman
Mohammed H Al-Zahrani
Marlize Coleman
Janet Hemingway
Abdiasiis Omar
Michelle C Stanton
Eddie K Thomsen
Adel A Alsheikh
Raafat F Alhakeem
Phillip J McCall
Abdullah A Al Rabeeah
Ziad A Memish
author_facet Michael Coleman
Mohammed H Al-Zahrani
Marlize Coleman
Janet Hemingway
Abdiasiis Omar
Michelle C Stanton
Eddie K Thomsen
Adel A Alsheikh
Raafat F Alhakeem
Phillip J McCall
Abdullah A Al Rabeeah
Ziad A Memish
author_sort Michael Coleman
collection DOAJ
description Significant headway has been made in the global fight against malaria in the past decade and as more countries enter the elimination phase, attention is now focused on identifying effective strategies to shrink the malaria map. Saudi Arabia experienced an outbreak of malaria in 1998, but is now on the brink of malaria elimination, with just 82 autochthonous cases reported in 2012. A review of published and grey literature was performed to identify the control strategies that have contributed to this achievement. The number of autochthonous malaria cases in Saudi Arabia decreased by 99.8% between 1998 and 2012. The initial steep decline in malaria cases coincided with a rapid scaling up of vector control measures. Incidence continued to be reported at low levels (between 0.01 and 0.1 per 1,000 of the population) until the adoption of artesunate plus sulfadoxine-pyrimethamine as first line treatment and the establishment of a regional partnership for a malaria-free Arabian Peninsula, both of which occurred in 2007. Since 2007, incidence has decreased by nearly an order of magnitude. Malaria incidence is now very low, but a high proportion of imported cases, continued potential for autochthonous transmission, and an increased proportion of cases attributable to Plasmodium vivax all present challenges to Saudi Arabia as they work toward elimination by 2015.
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spelling doaj.art-7445923ea0e049edb60ece9542d063b82022-12-21T23:52:08ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0199e10598010.1371/journal.pone.0105980A country on the verge of malaria elimination--the Kingdom of Saudi Arabia.Michael ColemanMohammed H Al-ZahraniMarlize ColemanJanet HemingwayAbdiasiis OmarMichelle C StantonEddie K ThomsenAdel A AlsheikhRaafat F AlhakeemPhillip J McCallAbdullah A Al RabeeahZiad A MemishSignificant headway has been made in the global fight against malaria in the past decade and as more countries enter the elimination phase, attention is now focused on identifying effective strategies to shrink the malaria map. Saudi Arabia experienced an outbreak of malaria in 1998, but is now on the brink of malaria elimination, with just 82 autochthonous cases reported in 2012. A review of published and grey literature was performed to identify the control strategies that have contributed to this achievement. The number of autochthonous malaria cases in Saudi Arabia decreased by 99.8% between 1998 and 2012. The initial steep decline in malaria cases coincided with a rapid scaling up of vector control measures. Incidence continued to be reported at low levels (between 0.01 and 0.1 per 1,000 of the population) until the adoption of artesunate plus sulfadoxine-pyrimethamine as first line treatment and the establishment of a regional partnership for a malaria-free Arabian Peninsula, both of which occurred in 2007. Since 2007, incidence has decreased by nearly an order of magnitude. Malaria incidence is now very low, but a high proportion of imported cases, continued potential for autochthonous transmission, and an increased proportion of cases attributable to Plasmodium vivax all present challenges to Saudi Arabia as they work toward elimination by 2015.http://europepmc.org/articles/PMC4175080?pdf=render
spellingShingle Michael Coleman
Mohammed H Al-Zahrani
Marlize Coleman
Janet Hemingway
Abdiasiis Omar
Michelle C Stanton
Eddie K Thomsen
Adel A Alsheikh
Raafat F Alhakeem
Phillip J McCall
Abdullah A Al Rabeeah
Ziad A Memish
A country on the verge of malaria elimination--the Kingdom of Saudi Arabia.
PLoS ONE
title A country on the verge of malaria elimination--the Kingdom of Saudi Arabia.
title_full A country on the verge of malaria elimination--the Kingdom of Saudi Arabia.
title_fullStr A country on the verge of malaria elimination--the Kingdom of Saudi Arabia.
title_full_unstemmed A country on the verge of malaria elimination--the Kingdom of Saudi Arabia.
title_short A country on the verge of malaria elimination--the Kingdom of Saudi Arabia.
title_sort country on the verge of malaria elimination the kingdom of saudi arabia
url http://europepmc.org/articles/PMC4175080?pdf=render
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