Rebounding Malaria and the failures of eradication in Zanzibar: The World Health Organization campaign and the after effects, 1957-1985.
Global health ethics
Malaria
Malaria elimination
Rebound malaria
World Health Organization
Zanzibar
Journal
Health & place
ISSN: 1873-2054
Titre abrégé: Health Place
Pays: England
ID NLM: 9510067
Informations de publication
Date de publication:
09 2022
09 2022
Historique:
received:
20
09
2021
revised:
25
05
2022
accepted:
26
05
2022
pubmed:
25
6
2022
medline:
28
9
2022
entrez:
24
6
2022
Statut:
ppublish
Résumé
This article presents a case study of the WHO's malaria elimination attempt in Zanzibar and the decades after the program's conclusion in 1968. Drawing on archival, ethnographic, and interview data, we find that Zanzibar experienced a rebound malaria epidemic in the 1970s-1980s when prevalence rates surged higher than they were prior to the WHO's intervention. We show that scientists were aware of the risks of rebound before it happened and recognized the rebound epidemic as it was happening. We argue that many of the challenges facing Zanzibar in the 1960s remain dilemmas today, and many of the ethical questions about rebound malaria remain unaddressed.
Identifiants
pubmed: 35750573
pii: S1353-8292(22)00103-4
doi: 10.1016/j.healthplace.2022.102842
pii:
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Pagination
102842Informations de copyright
Copyright © 2022. Published by Elsevier Ltd.
Déclaration de conflit d'intérêts
Declaration of competing interest We have no competing interests to declare.