Malaria Control in Complex Humanitarian Emergencies

John R MacArthur, Holly A Williams, Peter B Bloland


War, famine, civil conflict, and political
persecution displacing large populations
often leads to severe disruptions
in health services, disease control
programs, food distribution systems,
and loss of shelter. When the dimensions
of the crisis overwhelm the local and international
communities' ability to
respond quickly and effectively, significant
morbidity and mortality result in
what is termed a complex humanitarian
emergency. The public health consequences
have been most severe in underdeveloped
nations where most deaths are
caused by communicable diseases, which
include malaria. This paper describes
and analyses the factors that contribute to
malaria morbidity and mortality and
proposes effective measures to combat

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