PMID- 18250936 OWN - NLM STAT- MEDLINE DCOM- 20121002 LR - 20210915 IS - 0256-9574 (Print) VI - 97 IP - 11 Pt 3 DP - 2007 Nov TI - Malaria control in South Africa - challenges and successes. PG - 1193-7 AB - Control measures have substantially reduced the historical distribution of malaria in South Africa; the country's population currently at risk for contracting malaria is approximately 4.3 million, predominantly in the northern and eastern border areas. The major strategies for malaria control are vector control through indoor residual spraying, case management, disease surveillance, epidemic preparedness and response, and public awareness. There has been a significant and sustained decrease in malaria case notifications since 2000, as a result of intensive indoor residual spraying including the use of DDT to combat insecticide-resistant Anopheles funestus; the introduction of artemisinin combination therapy; and the Lebombo Spatial Initiative, a cross-border collaboration targeting malaria in eastern Swaziland, southern Mozambique and northern KwaZulu-Natal (KZN). Rapid malaria antigen detection tests are widely used for diagnosis at primary health care level. HIV-malaria co-infected patients who are malaria non-immune are at risk for severe malaria. Renal failure has been identified as a particular complication in this group of patients. Despite successes in malaria control in South Africa, many challenges remain. FAU - Blumberg, L AU - Blumberg L AD - National Institute for Communicable Diseases, Johannesburg, South Africa. FAU - Frean, J AU - Frean J LA - eng PT - Historical Article PT - Journal Article PL - South Africa TA - S Afr Med J JT - South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde JID - 0404520 RN - 0 (Anti-Infective Agents) RN - 0 (Antimalarials) RN - 0 (Artemisinins) RN - 886U3H6UFF (Chloroquine) RN - 9RMU91N5K2 (artemisinin) SB - IM MH - Anti-Infective Agents/therapeutic use MH - Antimalarials/therapeutic use MH - Artemisinins/therapeutic use MH - Chloroquine/therapeutic use MH - HIV Infections/complications MH - History, 19th Century MH - History, 20th Century MH - Humans MH - Malaria/diagnosis/drug therapy/epidemiology/*prevention & control MH - Mosquito Control MH - South Africa/epidemiology MH - Travel EDAT- 2008/02/06 09:00 MHDA- 2012/10/04 06:00 CRDT- 2008/02/06 09:00 PHST- 2008/02/06 09:00 [pubmed] PHST- 2012/10/04 06:00 [medline] PHST- 2008/02/06 09:00 [entrez] PST - ppublish SO - S Afr Med J. 2007 Nov;97(11 Pt 3):1193-7.