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2015 ; 110
(6
): 701-18
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A historical perspective on malaria control in Brazil
#MMPMID26517649
Griffing SM
; Tauil PL
; Udhayakumar V
; Silva-Flannery L
Mem Inst Oswaldo Cruz
2015[Sep]; 110
(6
): 701-18
PMID26517649
show ga
Malaria has always been an important public health problem in Brazil. The early
history of Brazilian malaria and its control was powered by colonisation by
Europeans and the forced relocation of Africans as slaves. Internal migration
brought malaria to many regions in Brazil where, given suitable Anopheles
mosquito vectors, it thrived. Almost from the start, officials recognised the
problem malaria presented to economic development, but early control efforts were
hampered by still developing public health control and ignorance of the
underlying biology and ecology of malaria. Multiple regional and national malaria
control efforts have been attempted with varying success. At present, the Amazon
Basin accounts for 99% of Brazil's reported malaria cases with regional increases
in incidence often associated with large scale public works or migration. Here,
we provide an exhaustive summary of primary literature in English, Spanish and
Portuguese regarding Brazilian malaria control. Our goal was not to interpret the
history of Brazilian malaria control from a particular political or theoretical
perspective, but rather to provide a straightforward, chronological narrative of
the events that have transpired in Brazil over the past 200 years and identify
common themes.