Environmental Management for Malaria Control in the East Asia and Pacific (EAP) Region
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World Bank, Washington, DC
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Malaria attacks millions in the East
Asia and Pacific (EAP) region, and greatly impedes economic
development, particularly affecting the rural poor. In the
early 1900s malaria was controlled in many parts of the
region using environmental management (EM) for vector
control. EM is where the environment is modified or
manipulated to reduce malaria transmission by attacking
local vector mosquitoes and requires an understanding of the
ecology of these species. Today malaria control is based on
drugs and insecticides, but their sustainability has been
undermined by the development of resistance and growing
concerns about the long-term environmental impact of some
insecticides. EM would strengthen malaria control activities
and be cost-effective. To be successful EM requires
co-ordination and collaboration between different public
sectors. This document presents the options that exist to
minimize malaria risks associated with infrastructure
development projects. It also aims to raise awareness of the
wide array of opportunities that exist to design, construct
and operate infrastructure as a sustainable means of
reducing malaria transmission risks in specific settings.
Environmental management offers exciting new opportunities
for sustainable malaria control throughout the EAP, not on
it's own, but as part of an integrated approach to
malaria management.
Palabras clave
ADVERSE HEALTH, ANTIMALARIAL DRUGS, BEHAVIOURAL FACTORS, BURDEN OF DISEASE, BURDEN OF MORBIDITY, CANCER, CASE MANAGEMENT, CLIMATE, COMMUNICABLE DISEASES, COMMUNITY HEALTH, DALY, DEATHS, DECISION MAKING, DISABILITIES, DISABILITY ADJUSTED LIFE YEARS, EAP, ECONOMIC DEVELOPMENT, ENVIRONMENTAL CONDITIONS, ENVIRONMENTAL HEALTH, ENVIRONMENTAL MANAGEMENT, EPIDEMICS, EPIDEMIOLOGY, FIELD RESEARCH, HEALTH, HEALTH CARE, HEALTH EFFECTS, HEALTH IMPACT ASSESSMENT, HEALTH PROJECTS, HEALTH SECTOR, HEALTH SERVICES, HEALTH SYSTEMS, HOUSING, HUMAN ENVIRONMENT, HUMAN HEALTH, IMPACT ASSESSMENTS, INCIDENCE OF MALARIA, INFECTION, INFECTIOUS DISEASES, INSECTICIDES, INTEGRATED ENVIRONMENTAL MANAGEMENT, MALARIA, MIGRATION, MORBIDITY, MORTALITY, MULTIDISCIPLINARY RESEARCH, NUTRITION, NUTRITION, NUTRITIONAL STATUS, PARTNERSHIP, PEER REVIEW, PLAGUE, POPULATION GROWTH, PREGNANT WOMEN, PREMATURE DEATH, PRODUCTIVITY, PUBLIC HEALTH, RISK OF INFECTION, SANITATION, SCHISTOSOMIASIS, TOBACCO, TOBACCO CONTROL, TUBERCULOSIS, VACCINES, VECTOR CONTROL, VECTOR SPECIES, WORKERS, WORKFORCE, YELLOW FEVER PUBLIC HEALTH PROGRAMS, ENVIRONMENTAL MANAGEMENT, MALARIA CONTROL, DISEASE CONTROL, INSECTICIDES, HEALTH CARE, MALARIA PREVENTION