Ta. Klein et al., VECTOR INCRIMINATION AND EFFECTS OF ANTIMALARIAL-DRUGS ON MALARIA TRANSMISSION AND CONTROL IN THE AMAZON BASIN OF BRAZIL, Memorias do Instituto Oswaldo Cruz, 87, 1992, pp. 393-397
World ecosystems differ significantly and a multidisciplinary malaria
control approach must be adjusted to meet these requirements. These in
clude a comprehensive understanding of the malaria vectors, their beha
vior, seasonal distribution and abundance, susceptibility to insectici
des (physiological and behavioral), methods to reduce the numbers of h
uman gametocyte carriers through effective health care systems and ant
imalarial drug treatment, urban malaria transmission versus rural or f
orest malaria transmission, and the impact of vaccine development. Man
y malaria vectors are members of species complexes and individual rela
tionships to malaria transmission, seasonal distribution, biting behav
ior, etc. is poorly understood. Additionally, malaria patients are not
examined for circulating gametocytes and both falciparum and vivax ma
laria patients may he highly infective to mosquitoes after treatment w
ith currently used antimalarial drugs. Studies on the physiological an
d behavioral effects of DDT and other insecticides are inconclusive an
d need to be evaluated.