The devastating effects of malaria on communities, tourism, agricultural and industrial
development in the provinces of KwaZulu-Natal and Mpumalanga were the major motivating forces behind attempts at control in the first half of the twentieth century. The disease pattern in 1938,
before large scale intervention, was characterised by dramatic inter-annual variation with severe epidemics as far south as Durban and reaching Pretoria on the Highveld
.( see map ) Programme Objectives
Historical Perspective on Malaria Research
The current distribution of malaria in South Africa shows a dramatically
reduced incidence of the disease ( see
map ). The current high risk areas today are all border areas, indicating
the importance of viewing malaria as a regional, rather than a country-specific,
problem.
Southern Africa has experienced a major resurgence in malaria transmission since 1996, a result
of several factors including population migration, drug and insecticide resistance and climatic changes.
Malaria control is a dynamic process requiring research backup, private and
public sector as well as national and international collaboration. Successful
control must be based on scientific principles and ongoing success requires
continual research input, government commitment to control of the disease
and appropriately skilled and trained personnel. The detrimental effects of
malaria on economic development, particularly eco-tourism, agricultural and
industrial development, point to an urgent need for cost-effective control
based on sound scientific principles.