Journal article icon

Journal article

The prevalence of Plasmodium falciparum in sub-Saharan Africa since 1900

Abstract:
Malaria transmission is influenced by climate, land use and deliberate intervention. Recent declines have been observed in malaria transmission. Here, we show that the continent has witnessed a long-term recession in the prevalence of Plasmodium falciparum since 1900-29 (40%) to 2010-15 (24%), interrupted at different times by periods of rapidly increasing and decreasing transmission. The cycles and trend over the last 115 years are inconsistent with simplistic explanations in terms of climate or intervention alone. Previous global initiatives had minor impacts on malaria transmission, and a historically unprecedented decline has been observed since 2000. However, there has been little change to the continued high transmission belt covering large parts of West and Central Africa. Previous efforts to model the changing patterns of P. falciparum transmission intensity in Africa have been limited to the last 15 years1,2, or have used maps of historical expert opinion3. We provide quantitative data comprising 50,424 surveys at 36,966 geocoded locations to cover 115 years of malaria history in sub-Saharan Africa.
Publication status:
Published
Peer review status:
Peer reviewed

Actions


Access Document


Files:
Publisher copy:
10.1038/nature24059

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
NDM
Sub department:
Tropical Medicine
Role:
Author


More from this funder
Grant:
Strengthening the Use of Data for Malaria Decision Making in Africa (DFID Programme Code # 203155
More from this funder
Grant:
048335
034694
079080
103602
095127
077092
203077


Publisher:
Springer Nature
Journal:
Nature More from this journal
Volume:
550
Pages:
515–518
Publication date:
2017-10-11
Acceptance date:
2017-09-01
DOI:
EISSN:
1476-4687
ISSN:
0028-0836


Pubs id:
pubs:724919
UUID:
uuid:147dcb73-1709-407f-b618-6ef3ad820296
Local pid:
pubs:724919
Source identifiers:
724919
Deposit date:
2017-09-01

Terms of use



Views and Downloads






If you are the owner of this record, you can report an update to it here: Report update to this record

TO TOP