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World Malaria Day 2015 highlighted the progress made in the development of new methods of prevention (vaccines and insecticides) and treatment (single dose drugs) of the disease. However, increasing drug and insecticide resistance threatens the successes made with existing methods. Insecticide resistance has decreased the efficacy of the most commonly used insecticide class of pyrethroids. This decreased efficacy has increased mosquito survival, which is a prelude to rising incidence of malaria and fatalities. Despite intensive research efforts, new insecticides will not reach the market for at least 5 years. Elimination of malaria is not possible without effective mosquito control. Therefore, to combat the threat of resistance, key stakeholders need to rapidly embrace a multifaceted approach including a reduction in the cost of bringing new resistance management methods to market and the streamlining of associated development, policy, and implementation pathways to counter this looming public health catastrophe.

Original publication

DOI

10.1016/S0140-6736(15)00417-1

Type

Journal article

Journal

Lancet

Publication Date

23/04/2016

Volume

387

Pages

1785 - 1788

Keywords

Africa South of the Sahara, Animals, Anopheles, Communicable Disease Control, Humans, Insect Vectors, Insecticide Resistance, Insecticide-Treated Bednets, Malaria, Mosquito Control, Pyrethrins