n South African Medical Journal - Foreword : malaria in South Africa : moving from control to elimination

Volume 103, Issue 10
  • ISSN : 0256-9574
  • E-ISSN: 2078-5135



South Africa (SA) is one of 34 malaria-endemic countries that are currently targeting elimination of the disease. This supplement of the documents SA's remarkable public health achievement in moving from malaria control to the threshold of elimination (zero local transmission in a defined geographical area). Nevertheless, SA's malaria programme still needs to travel some distance before it attains its goal of elimination by 2018. The articles in this supplement pay tribute to sterling efforts by dedicated persons who contributed and guided policies and interventions, not only in SA, but also elsewhere on the African continent and globally. These pioneering efforts deserve high-level recognition. The key lesson from early malaria control is that hard-won gains are rapidly lost when important control measures are curtailed, especially in low-transmission settings. Progress on every front, and at every level, is fragile. Malaria is a disease that can take full advantage of any lapse in investment, vigilance or control.

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