Given that the drop in malaria prevalence in Nigeria has been very modest in the last 5 years, it would be wise to take another look at the methods being used - which unfortunately are ephemeral (indoor sprays, bednets and drugs) and must be repeated every year. The lack of emphasis on permanent measures, such as Larval Source Management, is a key to the problem. With the ephemeral methods, because the national budget for malaria control can only increase slowly, thus the program will only increase slowly. In contrast, if permanent measures are employed, such as LSM, each year the area under control can be greatly expanded since repetition in previous areas is not necessary. Successful control of malaria in the USA was based on this approach, as far back as 1935.