This parasitic disease proclaims huge economical loss by draining considerable funds that could have been used for economic growth. Improved diagnosis and modern intervention tools have increased confidence in malaria elimination globally still, the malaria parasite causes high mortality every year. The present review attempts to assess the progress gained in malaria elimination during the past few years and highlights some issues that could be important in successful malaria elimination. Strong collaboration backed by adequate political and financial support among the countries with a common objective to eliminate malaria must be on top priority.
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Nevertheless maintaining zero malaria transmission and checks on malaria import in declared malaria free countries, and further speeding up of interventions to stop transmission in elimination countries is most desirable. The intervention tools available currently can most likely reduce transmission but clearing of malaria epicentres from where the disease can flare up any time, is not possible without involving local population. A brief incline in malaria during 2016 has raised fresh perturbation on whether elimination could be achieved on time or not. Although support beyond the territories is important, but well managed integrated vector management approach at regional and country level using scrupulously selected area specific interventions targeting both vector and parasite along with the community involvement is necessary. Ignoring such impeding factors coupled with certain region specific factors may jeopardise our ability to abide righteous track to achieve global elimination of malaria parasite. Sustainable interventions have played a pivotal role in malaria contraction, however drug and insecticide resistance, social, demographic, cultural and behavioural beliefs and practices, and unreformed health infrastructure could drift back the progress attained so far.
Given the aroused interest and investments into malaria elimination programmes at global level, the ambitious goal of elimination appears feasible. With inclining global support and World Health Organisation (WHO) efforts, the control programmes have been implemented effectively in many endemic countries. Therefore to achieve the objective of complete elimination and maintaining the elimination status, it is necessary to assess the gains made during the recent years. Nevertheless, reducing the number of cases seems to be easy than sustained elimination. In the past few years, the global malaria cases have been declining and many endemic countries are heading towards malaria elimination. Malaria causes significant morbidity and mortality each year.
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