AI Article Synopsis

  • Despite progress in combating malaria in India, Chhattisgarh remains a key area for malaria morbidity and mortality, with the study aiming to pinpoint factors critical for malaria elimination by 2030.
  • The research involved analyzing existing data on environmental conditions and malaria vectors, specifically targeting districts with high incidence of malaria, particularly among tribal populations in forested areas.
  • Environmental challenges, including forest cover and community behavior, along with insecticide resistance and asymptomatic cases, complicate efforts; thus, focusing resources on high-endemic districts and innovative control programs is essential for progress.

Article Abstract

Background Objectives: Despite significant progress in malaria control throughout India, Chhattisgarh state continues to be a significant contributor to both malaria morbidity and mortality. This study aims to identify key factors associated with malaria endemicity, with a goal of focusing on these factors for malaria elimination by 2030.

Methods: We employed an analysis and narrative review methodology to summarize the existing evidence on malaria epidemiology in Chhattisgarh. Data encompassing environmental conditions, dominant malaria vectors and their distribution, and the impact of previous interventions on malaria control, were extracted from published literature using PubMed and Google Scholar. This information was subsequently correlated with malaria incidence data using appropriate statistical and geographical methods.

Results: Much of the malaria burden in Chhattisgarh state is concentrated in a few specific districts. The primary malaria vectors in these regions are Anopheles culicifacies and An. fluviatilis. High transmission areas are found in tribal belts which are challenging to access and are characterized by densely forested areas that provide a conducive habitat for malaria vectors.

Interpretation Conclusion: Conducive environmental conditions characterized by high forest cover, community behavior, and insurgency, contribute to high malaria endemicity in the area. Challenges include insecticide resistance in malaria vectors and asymptomatic malaria. Allocating additional resources to high-endemic districts is crucial. Innovative and focused malaria control programs of the country, such as DAMAN and Malaria Mukt Abhiyan, hold immense importance.

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Source
http://dx.doi.org/10.4103/jvbd.jvbd_167_23DOI Listing

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