Please use this identifier to cite or link to this item:
https://www.arca.fiocruz.br/handle/icict/69457
Type
ArticleCopyright
Open access
Collections
- INI - Artigos de Periódicos [3646]
Metadata
Show full item record
THE 1985 PLASMODIUM VIVAX MALARIA ELIMINATION CAMPAIGN IN SANTA CATARINA, BRAZIL: THE FEASIBILITY OF USING SEROLOGY AMID OTHER INTEGRATED TOOLS IN THE LAST MILE
Author
Affilliation
Municipal Health Department of Belo Horizonte. Belo Horizonte, MG, Brazil.
University of Brasilia. Center of Tropical Medicine. Brasilia, DF, Brazil.
University of Brasilia. Center of Tropical Medicine. Brasilia, DF, Brazil.
The Walter and Eliza Hall Institute of Medical Research. Parkville, Australia.
The London School of Hygiene & Tropical Medicine. London, UK.
Dr Heitor Vieira Dourado Tropical Medicine Foundation. Manaus, AM, Brazil / Fundação Oswaldo Cruz. Instituto Leônidas e Maria Deane. Manaus, AM, Brasil / University of Texas Medical Branch. Galveston, USA.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em Doenças Febris Agudas. Rio de Janeiro, RJ, Brasil.
University of Brasilia. Center of Tropical Medicine. Brasilia, DF, Brazil.
University of Brasilia. Center of Tropical Medicine. Brasilia, DF, Brazil.
The Walter and Eliza Hall Institute of Medical Research. Parkville, Australia.
The London School of Hygiene & Tropical Medicine. London, UK.
Dr Heitor Vieira Dourado Tropical Medicine Foundation. Manaus, AM, Brazil / Fundação Oswaldo Cruz. Instituto Leônidas e Maria Deane. Manaus, AM, Brasil / University of Texas Medical Branch. Galveston, USA.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em Doenças Febris Agudas. Rio de Janeiro, RJ, Brasil.
Abstract
This report outlines the process of malaria elimination in two municipalities, São Francisco do Sul and Araquari, located in Santa Catarina, Southern Brazil, from 1980 to 1985. Before 1948, Santa Catarina reported an annual average of nearly 60,000 malaria cases. The primary vector responsible for transmission was Anopheles (Kerteszia) cruzii, which exhibited high infestation levels in endemic areas. Malaria control measures in the state began in 1941 with the involvement of the National Malaria Service. The elimination process initially targeted Plasmodium falciparum and Plasmodium malariae infections, followed by a focus on Plasmodium vivax infections in 1962. Between 1980 and 1985, comprehensive efforts were undertaken in both municipalities to control and eliminate malaria. These efforts included bromeliad removal, DDT spraying, Malathion fogging, enhanced active and passive detection measures, and serological surveys to guide the radical cure of vivax malaria with chloroquine and primaquine. As a result of these interventions, both cities witnessed a significant decline in malaria incidence, going from 6.7 cases per 1000 residents to 0 cases in 1985. This report documents the first use of serology testing and treating in malaria elimination actions, demonstrating its potential to optimize resources by targeting treatment. The success of the combined interventions underscores the importance of significant resources, sustained effort, and political commitment to achieving elimination. The feasibility of serology-guided strategies in the 1980s highlights their continued relevance today as a model for achieving malaria elimination in endemic regions.
Share