FOR THE PAST FIVE YEARS, SOUTH AFRICA has seen a marked increase in notified malaria cases without a similar trend in Swaziland, which nestles between the two malarious South African provinces of KwaZulu-Natal and Mpumalanga. Swaziland and these provinces share a border with Mozambique, where malaria is holoendemic. The change from DDT to synthetic pyrethroids for intradomicillary residual spraying in South Africa may have been a contributory factor to this increase. The absence of a similar trend in Swaziland, where DDT continues to be used, adds weight to the ecological association between change in the use of insecticide and increase in malaria cases.
CITATION STYLE
Govere, J. M., Durrheim, D. N., & Kunene, S. (2002). Malaria trends in South Africa and Swaziland and the introduction of synthetic pyrethroids to replace DDT for malaria vector control. South African Journal of Science. National Research Foundation.
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