Malaria Control in South America— Response to P.C. Matteson
1999

Response to P.C. Matteson on Malaria Control in South America

publication

Author Information

Author(s): Roberts Donald R., Laughlin Larry L.

Primary Institution: The Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA

Hypothesis

Is drug resistance the main factor contributing to increasing malaria rates in South America?

Conclusion

The increase in malaria rates is correlated with the decline of DDT use rather than drug resistance or public health system deterioration.

Supporting Evidence

  • Malaria rates increased in Central America where drug resistance is unknown.
  • DDT use previously cleared malaria from southern Brazil, indicating its effectiveness.
  • Persistent urban malaria is becoming a problem again since DDT has been eliminated.

Takeaway

The study suggests that stopping the use of DDT led to more malaria cases, not just drug resistance or health system issues.

Digital Object Identifier (DOI)

10.3201/eid0502.990230

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