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South Africa

Decadal epidemiology of malaria in KwaZulu-Natal, a province in South Africa targeting elimination

December 2, 2019 - 18:14 -- Open Access
Author(s): 
Maharaj R, Seocharan I, Qwabe B, Mkhabela M, Kissoon S, Lakan V
Reference: 
Malar J. 2019 Nov 20;18(1):368

Although malaria remains a noteworthy disease in South Africa, the provinces are at differing stages of the malaria elimination continuum. KwaZulu-Natal has consistently reported the lowest number of cases over the past 5 years and it is expected that the goal of elimination will be achieved in this province over the next few years. The study reports on few key indicators that realistically represents the provinces progress over the past decade. Local and imported morbidity and mortality is seen as the key indicator as is malaria in children under the age of five and pregnant women. The only vector control intervention in the province is indoor residual spraying (IRS) and this gives an estimate of the population protected by this intervention.

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Decadal epidemiology of malaria in KwaZulu-Natal, a province in South Africa targeting elimination

November 26, 2019 - 13:28 -- Open Access
Author(s): 
Rajendra Maharaj, Ishen Seocharan, Bheki Qwabe, Moses Mkhabela, Sunitha Kissoon and Vishan Lakan
Reference: 
Malaria Journal 2019 18: 368, 20 November 2019

Although malaria remains a noteworthy disease in South Africa, the provinces are at differing stages of the malaria elimination continuum. KwaZulu-Natal has consistently reported the lowest number of cases over the past 5 years and it is expected that the goal of elimination will be achieved in this province over the next few years. The study reports on few key indicators that realistically represents the provinces progress over the past decade. Local and imported morbidity and mortality is seen as the key indicator as is malaria in children under the age of five and pregnant women. The only vector control intervention in the province is indoor residual spraying (IRS) and this gives an estimate of the population protected by this intervention.

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Anopheles parensis contributes to residual malaria transmission in South Africa

July 30, 2019 - 08:37 -- Open Access
Author(s): 
Ashley Burke, Yael Dahan-Moss, Frances Duncan, Bheki Qwabe, Maureen Coetzee, Lizette Koekemoer and Basil Brooke
Reference: 
Malaria Journal 2019 18:257, 29 July 2019

Understanding the contribution of outdoor-resting Anopheles mosquitoes to residual malaria transmission is important in terms of scaling up vector control towards malaria elimination in South Africa. The aim of this project was to assess the potential role of Anopheles parensis and other Anopheles species in residual malaria transmission, using sentinel surveillance sites in the uMkhanyakude District of northern KwaZulu-Natal Province.

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Safety and tolerability of single low-dose primaquine in a low-intensity transmission area in South Africa: an open-label, randomized controlled trial

July 1, 2019 - 15:26 -- Open Access
Author(s): 
Jaishree Raman, Elizabeth Allen, Lesley Workman, Aaron Mabuza, Hendrik Swanepoel, Gillian Malatje, John Frean, Lubbe Wiesner and Karen I. Barnes
Reference: 
Malaria Journal 2019 18:209, 24 June 2019

To reduce onward falciparum malaria transmission, the World Health Organization recommends adding single low-dose (SLD) primaquine to artemisinin-based combination treatment in low transmission areas. However, uptake of this recommendation has been relatively slow given concerns about whether individual risks justify potential community benefit. This study was undertaken to generate comprehensive local data on the risk–benefit profile of SLD primaquine deployment in a pre-elimination area in South Africa.

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A community-based education programme to reduce insecticide exposure from indoor residual spraying in Limpopo, South Africa

June 14, 2019 - 18:19 -- Open Access
Tags: 
Author(s): 
Brenda Eskenazi, David I. Levine, Stephen Rauch, Muvhulawa Obida, Madelein Crause, Riana Bornman and Jonathan Chevrier
Reference: 
Malaria Journal 2019 18:199, 14 June 2019

Indoor residual spraying (IRS), the coating of interior walls of houses with insecticides, is common in malaria-endemic areas. While important in malaria control, IRS potentially exposes residents to harmful insecticides. The World Health Organization recommends steps to minimize exposure; however, no programme has focused on educating populations.

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Assessing Kwa-Zulu-Natal’s progress towards malaria elimination and its readiness for sub-national verification

April 4, 2019 - 15:31 -- Open Access
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Author(s): 
Ryleen Balawanth, Inessa Ba, Bheki Qwabe, Laura Gast, Rajendra Maharaj, Jaishree Raman, Rebecca Graffy, Mbavhalelo Shandukani and Devanand Moonasar
Reference: 
Malaria Journal 2019 18:108, 1 April 2019

The critical self-evaluation of programme performance has allowed the KZN malaria programme to plan to address key issues moving forward.

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Evaluating a 24-h mobile reporting system for malaria notifications in comparison with a paper-based system in South Africa, 2015

August 28, 2018 - 14:56 -- Open Access
Tags: 
Author(s): 
Ramokone Ednah Baloyi, Mbavhalelo Bridget Shandukani, Devanand Moonasar, et al.
Reference: 
Malaria Journal 2018 17:308, 23 August 2018

The 24-h mobile reporting system is user friendly and trained healthcare workers are willing to use the system, despite network limitations.

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Using participatory risk analysis to develop a song about malaria for young children in Limpopo Province, South Africa

May 1, 2018 - 15:50 -- Open Access
Tags: 
Author(s): 
Chad M. Anderson, Cheryl M. E. McCrindle, Taneshka Kruger and Fraser McNeill
Reference: 
Malaria Journal 2018 17:181, 27 April 2018

It was concluded that although risk communication on malaria prevention and treatment in young children should be aimed at caregivers, an age and culture appropriate song about malaria could be developed to help young children protect themselves.

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Malaria programme personnel’s experiences, perceived barriers and facilitators to implementing malaria elimination strategy in South Africa

January 13, 2018 - 14:22 -- Open Access
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Author(s): 
Khumbulani Welcome Hlongwana, Benn Sartorius and Joyce Tsoka-Gwegweni
Reference: 
Malaria Journal 2018 17:21, 10 January 2018

Most participants were not positive that South Africa could achieve the malaria elimination goal by 2018, citing the high cross-border movements and lack of resources as key barriers.

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If malaria funding is so precarious, why not use permanent improvements in southern Africa ?

October 1, 2016 - 15:50 -- William Jobin

Malar J. 2016; 15: 419.
Published online 2016 Aug 18. doi: 10.1186/s12936-016-1470-8
PMCID: PMC4991067
Towards malaria elimination in the MOSASWA (Mozambique, South Africa and Swaziland) region
Authors:
Devanand Moonasar, Rajendra Maharaj, Simon Kunene, Baltazar Candrinho, Francisco Saute, Nyasatu Ntshalintshali, and Natashia Morris corresponding author.

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