The Lancet Global Health
July 2013 Volume 1 Number 1 e1 – 54
Malaria eradication: is it possible? Is it worth it? Should we do it?
Jenny Liu, Sepideh Modrek, Roly D Gosling, Richard GA Feachem
The malaria map is rapidly shrinking. In 1900, endemic malaria was present in almost every country. Nowadays, the disease has been eliminated in 111 countries and 34 countries are advancing towards elimination.1 Elimination is defined as the absence of transmission in a defined geography—typically a country.2 Successful malaria control programmes in the remaining 64 countries with ongoing transmission have helped to reduce global incidence by 17% and mortality by 26% since 2000.3 For the 34 eliminating countries, the reductions were 85% in incidence and 87% in mortality.