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Rocha EM, Katak RDM, Campos de Oliveira J, Araujo MDS, Carlos BC, Galizi R, Tripet F, Marinotti O, Souza-Neto JA. Vector-Focused Approaches to Curb Malaria Transmission in the Brazilian Amazon: An Overview of Current and Future Challenges and Strategies. Trop Med Infect Dis 2020; 5:E161. [PMID: 33092228 PMCID: PMC7709627 DOI: 10.3390/tropicalmed5040161] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 10/10/2020] [Accepted: 10/13/2020] [Indexed: 01/05/2023] Open
Abstract
In Brazil, malaria transmission is mostly confined to the Amazon, where substantial progress has been made towards disease control in the past decade. Vector control has been historically considered a fundamental part of the main malaria control programs implemented in Brazil. However, the conventional vector-control tools have been insufficient to control or eliminate local vector populations due to the complexity of the Amazonian rainforest environment and ecological features of malaria vector species in the Amazon, especially Anopheles darlingi. Malaria elimination in Brazil and worldwide eradication will require a combination of conventional and new approaches that takes into account the regional specificities of vector populations and malaria transmission dynamics. Here we present an overview on both conventional and novel promising vector-focused tools to curb malaria transmission in the Brazilian Amazon. If well designed and employed, vector-based approaches may improve the implementation of malaria-control programs, particularly in remote or difficult-to-access areas and in regions where existing interventions have been unable to eliminate disease transmission. However, much effort still has to be put into research expanding the knowledge of neotropical malaria vectors to set the steppingstones for the optimization of conventional and development of innovative vector-control tools.
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Affiliation(s)
- Elerson Matos Rocha
- Programa de Pós-Graduação em Biotecnologia, Universidade Federal do Amazonas—PPGBIOTEC/UFAM, Manaus 69067-005, Brazil; (E.M.R.); (R.d.M.K.); (J.C.d.O.)
| | - Ricardo de Melo Katak
- Programa de Pós-Graduação em Biotecnologia, Universidade Federal do Amazonas—PPGBIOTEC/UFAM, Manaus 69067-005, Brazil; (E.M.R.); (R.d.M.K.); (J.C.d.O.)
| | - Juan Campos de Oliveira
- Programa de Pós-Graduação em Biotecnologia, Universidade Federal do Amazonas—PPGBIOTEC/UFAM, Manaus 69067-005, Brazil; (E.M.R.); (R.d.M.K.); (J.C.d.O.)
| | - Maisa da Silva Araujo
- Laboratory of Medical Entomology, Oswaldo Cruz Foundation, FIOCRUZ RONDONIA, Porto Velho, RO 76812-245, Brazil;
| | - Bianca Cechetto Carlos
- Department of Bioprocesses and Biotechnology, School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu 18610-034, Brazil;
- Central Multiuser Laboratory, School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu 18610-034, Brazil
| | - Roberto Galizi
- Centre of Applied Entomology and Parasitology, School of Life Sciences, Keele University, Staffordshire ST5 5GB, UK; (R.G.); (F.T.)
| | - Frederic Tripet
- Centre of Applied Entomology and Parasitology, School of Life Sciences, Keele University, Staffordshire ST5 5GB, UK; (R.G.); (F.T.)
| | | | - Jayme A. Souza-Neto
- Department of Bioprocesses and Biotechnology, School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu 18610-034, Brazil;
- Central Multiuser Laboratory, School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu 18610-034, Brazil
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Ferreira MU, Castro MC. Challenges for malaria elimination in Brazil. Malar J 2016; 15:284. [PMID: 27206924 PMCID: PMC4875681 DOI: 10.1186/s12936-016-1335-1] [Citation(s) in RCA: 124] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2016] [Accepted: 05/10/2016] [Indexed: 01/19/2023] Open
Abstract
Brazil currently contributes 42 % of all malaria cases reported in the Latin America and the Caribbean, a region where major progress towards malaria elimination has been achieved in recent years. In 2014, malaria burden in Brazil (143,910 microscopically confirmed cases and 41 malaria-related deaths) has reached its lowest levels in 35 years, Plasmodium falciparum is highly focal, and the geographic boundary of transmission has considerably shrunk. Transmission in Brazil remains entrenched in the Amazon Basin, which accounts for 99.5 % of the country’s malaria burden. This paper reviews major lessons learned from past and current malaria control policies in Brazil. A comprehensive discussion of the scientific and logistic challenges that may impact malaria elimination efforts in the country is presented in light of the launching of the Plan for Elimination of Malaria in Brazil in November 2015. Challenges for malaria elimination addressed include the high prevalence of symptomless and submicroscopic infections, emerging anti-malarial drug resistance in P. falciparum and Plasmodium vivax and the lack of safe anti-relapse drugs, the largely neglected burden of malaria in pregnancy, the need for better vector control strategies where Anopheles mosquitoes present a highly variable biting behaviour, human movement, the need for effective surveillance and tools to identify foci of infection in areas with low transmission, and the effects of environmental changes and climatic variability in transmission. Control actions launched in Brazil and results to come are likely to influence control programs in other countries in the Americas.
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Affiliation(s)
- Marcelo U Ferreira
- Department of Parasitology, Institute of Biomedical Sciences, University of São Paulo, Av. Prof. Lineu Prestes 1374, Cidade Universitária, São Paulo, SP, 05508-900, Brazil.
| | - Marcia C Castro
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Building I, Room 1113, Boston, MA, 02115, USA.
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Val FF, Sampaio VS, Cassera MB, Andrade RT, Tauil PL, Monteiro WM, Lacerda MVG. Plasmodium vivax malaria elimination: should innovative ideas from the past be revisited? Mem Inst Oswaldo Cruz 2015; 109:522-4. [PMID: 25184997 PMCID: PMC4156444 DOI: 10.1590/0074-0276140240] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2014] [Accepted: 07/25/2014] [Indexed: 01/13/2023] Open
Abstract
In the 1950s, the strategy of adding chloroquine to food salt as a prophylaxis
against malaria was considered to be a successful tool. However, with the development
of Plasmodium resistance in the Brazilian Amazon, this control
strategy was abandoned. More than 50 years later, asexual stage resistance can be
avoided by screening for antimalarial drugs that have a selective action against
gametocytes, thus old prophylactic measures can be revisited. The efficacy of the old
methods should be tested as complementary tools for the elimination of malaria.
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Affiliation(s)
| | | | - Maria Belén Cassera
- Department of Biochemistry, Virginia Tech Center for Drug Discovery, Virginia Tech, Blacksburg, VA, USA
| | | | - Pedro Luiz Tauil
- Faculdade de Medicina, Universidade de Brasília, Brasília, DF, Brasil
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Silva RD, Paiva CHA. The Juscelino Kubitschek government and the Brazilian Malaria Control and Eradication Working Group: collaboration and conflicts in Brazilian and international health agenda, 1958-1961. HISTORIA, CIENCIAS, SAUDE--MANGUINHOS 2015; 22:95-114. [PMID: 25742101 DOI: 10.1590/s0104-59702015000100006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2013] [Accepted: 05/01/2014] [Indexed: 06/04/2023]
Abstract
Malaria, a disease which was under control in the beginning of Juscelino Kubitschek government, became the most important endemic disease in 1958, when Brazil made a commitment with the World Health Organization to convert its control programs into eradication programs. For this purpose a Malaria Control and Eradication Group was set up under the leadership of the malaria specialist Mário Pinotti. Malaria would become an important bargaining chip in the context of the development policies of Kubitschek. This article focuses on path of the Malaria Control and Eradication Working Group in Brazil, in its varying relationships with the arguments and guidelines established at international level.
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Affiliation(s)
- Renato da Silva
- Programa de Mestrado de Letras e Ciências Humanas, Unigranrio, Duque de Caxias, RJ, Brasil,
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