Brief Communications Arising

Nature 437, E3-E4 (8 September 2005) | doi: 10.1038/nature04179

Malaria risk: Estimation of the malaria burden

David R. Bell1, Pernille Jorgensen1, Eva Maria Christophel1 and Kevin L. Palmer1

Arising from: R. W. Snow, C. A. Guerra, A. M. Noor, H. Y. Myint & S. I. Hay Nature 434, 214−217 (2005); see also communication from Nahlen; Snow et al.reply.

Accurate estimates of the global burden of malaria are important for planning, monitoring and advocacy. Snow et al.1 attempt to address the shortcomings of previous estimates of the incidence of malaria caused by Plasmodium falciparum by combining current and historical data. However, we believe that the design of their model and its inputs have led to a significant overestimate of the malaria burden outside Africa — as in the example of the World Health Organization (WHO) western Pacific region (WPR), for which their model predicts 60 times the 2002 incidence reported by national malaria-control programmes2.

  1. Malaria, Other Vector-borne and Parasitic Diseases Unit, World Health Organization Regional Office for the Western Pacific, PO Box 2932, Manila, Philippines

Correspondence to: David R. Bell1 Email: belld@wpro.who.int

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