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When People Come FirstCritical Studies in Global Health$
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João Biehl and Adriana Petryna

Print publication date: 2013

Print ISBN-13: 9780691157382

Published to University Press Scholarship Online: October 2017

DOI: 10.23943/princeton/9780691157382.001.0001

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date: 13 December 2017

A Return to the Magic Bullet?

A Return to the Magic Bullet?

Malaria and Global Health in the Twenty-First Century

Chapter:
(p.30) 1 A Return to the Magic Bullet?
Source:
When People Come First
Author(s):

Marcos Cueto

Publisher:
Princeton University Press
DOI:10.23943/princeton/9780691157382.003.0003

This chapter examines the recent cycle of malaria elimination and control efforts and to raise some questions about the future of global health. It discusses policy changes that occurred against the background of the slow but steady growth of a killer that is second in its global impact only to tuberculosis. Despite a general decline in malaria morbidity during the 1960s and 1970s, especially in semitropical and temperate climate zones, the number of cases and deaths increased in the following years. Among the social factors that explain malaria's increase in the developing world were floods of refugees fleeing civil wars and famine, the marked precariousness of medical systems during a period of structural adjustment, and the growing number of unemployed rural people moving to previously uncultivated lands where infection rates were higher and medical care was scarce.

Keywords:   malaria, disease control, health policy, social factors, developing countries, epidemics, global health

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