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A nosocomial outbreak of disease involving 5 patients, 4 of whom died, occurred in South Africa during September-October 2008. The first patient had been transferred from Zambia to South Africa for medical management. Three cases involved secondary spread of infection from the first patient, and 1 was a tertiary infection. A novel arenavirus was identified.… (More)
House-resting Anopheles mosquitoes are targeted for vector control interventions; however, without proper species identification, the importance of these Anopheles to malaria transmission is unknown. Anopheles longipalpis, a non-vector species, has been found in significant numbers resting indoors in houses in southern Zambia, potentially impacting on the… (More)
Malaria vector control is primarily insecticide based and relies on indoor residual spraying (IRS) and the distribution of long-lasting insecticide-treated bednets (LLINs). These interventions have generally proved effective where appropriately implemented. However, the increasing incidence of insecticide resistance in target vector populations can, and in… (More)
Malaria vector control is primarily insecticide based. It relies on indoor residual spraying (IRS) of houses and the distribution of long-lasting insecticide-treated bednets (LLINs). Only twelve insecticides from four different chemical classes (organochlorines, organophosphates, pyrethroids, and carbamates) are currently recommended by the World Health… (More)
Here we reflect on the achievement of some of the diverse activities that have brought malaria under control, highlight key challenges and propose specific health promotion interventions required to move South Africa's malaria programme from control to elimination.