Shrinking the malaria map in China: measuring the progress of the National Malaria Elimination Programme
© Hu et al. 2016
Received: 8 January 2016
Accepted: 13 May 2016
Published: 19 May 2016
Remarkable progress has been made towards the elimination of malaria in China since the National Malaria Elimination Programme (NMEP) was launched in 2010. The incidence of locally-acquired malaria cases has declined rapidly and endemic areas have also dramatically shrunk. In total, 3 078 malaria cases were reported in 2014, but only 56 cases were indigenous. In order to further promote the elimination programme, we reviewed the progress of and experiences associated with malaria elimination in China, and identified the challenges and priorities for the next stage of the programme.
Data were collected from the web-based China Information System for Disease Control and Prevention, and the China Annual Report of Malaria Elimination. The progress towards the elimination of malaria from 2010 to 2014 was measured.
During the implementation of the NMEP from 2010 to 2014, local malaria incidence has declined continuously, only remaining in the Yunnan Province and Tibet Autonomous Region in 2014. By the end of 2015, 75.6 % (1 636/2 163) of the malaria-endemic counties passed the sub-national elimination assessment. The main challenges are cases of border malaria and imported malaria from other countries. Sustainable support and investment from the government, the establishment of an effective surveillance and response system, and risk assessments for the potential reintroduction of malaria are priorities for the next stage of the elimination programme.
The NMEP in China has been successfully implemented thus far and the malaria map has shrunk dramatically. The priorities for malaria elimination are interventions to block transmission at border areas, management of imported malaria cases, preventing malaria reintroduction, capacity building, and sustainability of malaria surveillance and response.
KeywordsMalaria elimination Incidence Progress Experiences Challenges China
Please see Additional file 1 for translations of the abstract into the six official working languages of the United Nations.
Malaria remains one of the most serious public health issues in the world. According to the latest available data, about 3.2 billion people were at risk of contracting malaria in 2015, and an estimated 214 million new cases and 438 000 deaths associated with malaria were reported that same year . Historically, malaria was extensively endemic in China and large-scale outbreaks occurred in the 1960s and 1970s, which had a serious impact on people’s health and inhibited socio-economic development [2, 3]. After intensive efforts for many years, malaria has been effectively controlled in China through the implementation of effective strategies and measures, such as mass malaria control activities, integrated vector control and joint control strategies. The intensity of malaria epidemics and the number of endemic areas have decreased significantly, and falciparum malaria transmission was successfully interrupted in central China in early 1990s [2, 4, 5]. In 2010, the number of malaria cases nationwide was 7 855, a reduction of 45.8 % compared with the 14 491 cases reported in 2009. Over 95 % of the counties in China have a malaria incidence below 1/10 000 .
In 2008, the United Nations issued the Millennium Development Goals, one of which was to globally eradicate malaria. Many countries have made remarkable progress in malaria elimination and 109 countries were malaria free by 2010 . To respond to this global action plan, the Chinese government developed a National Malaria Elimination Programme (NMEP) in 2010, and the Action Plan of China Malaria Elimination (2010–2020) (APCME) was officially endorsed in the same year by the Ministry of Health in conjunction with 12 other ministries including Finance, Education, Science and Technology, Entry-Exit Inspection and Quarantine, and so on. The general goal of the NMEP is to “eliminate local malaria transmission except in some of the Yunnan-Myanmar border areas by 2015 and realize malaria elimination across China by 2020” .
Since the launch of the elimination programme in 2010, along with socio-economic development, progress of urbanisation, and changes in the natural environment and malaria vectors, the incidence of locally-acquired malaria in China has declined sharply and malaria-endemic areas have also dramatically shrunk. There were 3 078 malaria cases reported in 2014, but only 56 were indigenous cases . China is currently on the path towards malaria elimination and has developed a roadmap for nationwide elimination of the disease . In order to understand the current status of the NMEP and ensure the realisation of the final goal of malaria elimination countrywide in 2020, the achievements and experiences of the past five years since the launch of the programme are reviewed in this paper. Challenges and priorities for the next steps are also identified.
Brief profile of China
China is located in East Asia and the Western Pacific Region. Covering approximately 9.6 million square kilometres, China has a population of 1.37 billion, with an average population density of 145 per square kilometre in 2014. China is divided into provinces, autonomous regions and municipalities (P/A/M) directly under the administration of the Central Government. Currently, the country is divided into 23 provinces, five autonomous regions, four municipalities and two special administrative regions .
Data on the NMEP from 2010 to 2014 were collected and the progress towards the elimination of malaria in China was reviewed. Data were obtained from the web-based China Information System for Disease Control and Prevention (CISDCP) and the China Annual Report of Malaria Elimination. Data collected included the number of reported malaria cases sorted by indigenous cases and imported cases from other countries; strategies and interventions implemented, including number of blood examinations conducted, distribution of long-lasting insecticide-treated nets (LLINs) and indoor residual spraying (IRS), provision of training, administering of health education; and amount of financial investment. Data from Hong Kong, Macao and Taiwan were not included in this analysis.
Data analysis and mapping
Data were double entered into Microsoft Excel 2007 (Microsoft Corporation, Redmond, WA, USA) and then a descriptive analysis was conducted. The maps showing the geographical distribution of indigenous malaria cases were generated using ArcGIS software version 10.1 (Environmental Systems Research Institute. Inc., Redlands, CA, USA).
Implementation of malaria elimination strategies and interventions
Implementation of strategies and interventions for malaria elimination in China, 2010–2014
Blood examination (Persons)
IRS (Persons covered)
7 115 784
1 030 373
854 701 275
9 189 270
1 840 792
1 043 963
6 918 657
1 092 158
5 554 960
4 403 633
33 182 304
3 201 493
857 789 971
A total of 33 182 304 blood tests were performed using both passive and active case detection for fever patients, with 22 277 malaria cases found from 2010 to 2014. By the end of 2014, the proportion of suspected malaria cases that received parasitological tests and the proportion of reported malaria cases based on parasitological confirmation reached 99.68 and 98.15 %, respectively. The proportion of cases reported within one day (24 h) after diagnosis, cases investigated within three days after reported, and foci investigation and action conducted within seven days after case reported reached 100, 98.95 and 100 %, respectively in 2014.
A total of 3 201 493 LLINs were distributed and 857 789 971 people were protected by IRS during the period from 2010 to 2014. Trainings that mainly targeted public health staff, clinicians and microscopists were carried out at different levels. About 130 000 technicians were trained in malaria microscopy during the period from 2010 to 2014. Health education campaigns for residents and students were carried out combined with the National Malaria Day (April 26th) every year across China. At present, an effective surveillance system that combines routine surveillance and sentinel surveillance has been established. The routine surveillance includes a case reporting system based on the web-based CISDCP and a web-based information system specifically designed for parasitic diseases. A total of 49 sentinel sites have been set up, which covered 25 P/A/M across China, to provide information and technical support for malaria elimination in China. The activities of the sentinel sites include active case detection, vector surveillance (species, population density and insecticide resistance) and anti-malarial drug efficacy. A laboratory network for malaria diagnosis has been developed  and 22 provincial-level malaria diagnosis reference laboratories in 24 malaria-endemic provinces were established by the end of 2014.
Indigenous malaria incidence has continuously been declining
Malaria-endemic areas have shrunk dramatically
Progress towards malaria elimination
The Global Technical Strategy has proposed to eliminate malaria in 35 new countries by 2030 . At the Ninth East Asia Summit, regional leaders agreed to the goal of an Asia Pacific free of malaria by 2030 and proposed a roadmap for malaria elimination . Malaria elimination in China is one of the most important goals of global malaria elimination and is of great concern to the international community [16, 17]. Recent progress made by the NMEP has shown that remarkable strides can be made with adequate investment and the proper strategies.
Overall, the NMEP in China is proceeding as planned and the malaria map has successfully been shrunk to limited border areas. This success is driven by several factors. Firstly, it has benefited from the attention and strong political commitment of the Chinese government. The APCME proposed clear objectives, strategies, measures and schedules for malaria elimination at the national level from the beginning of the programme, and the Chinese government has continued to financially support malaria elimination strategies despite the Global Fund to Fight AIDS, Tuberculosis and Malaria stopping its funding for China in 2012 . Secondly, regional collaboration, which is called China’s joint malaria prevention and control mechanism, has largely helped the progress towards malaria elimination. The joint mechanism, which is under the guidance of the different levels of governments and health authorities, groups together regions adjacent to each other with similar natural and geographical conditions, consistent transmission intensities and epidemic factors. These regions then implement the same strategies through unified planning and conduct simultaneous actions, joint training, unified monitoring and evaluation, as well as hold regular meetings to exchange experiences . In addition, cooperation between China and neighbouring countries including Myanmar, Laos and Vietnam has played an important role in improving control of malaria at cross-border areas and solving the cross-border challenge of imported malaria. Thirdly, the national web-based case reporting system combined with a specific system for parasitic diseases provides a strong support for data collection. Fourthly, the strategy for surveillance and response called “1-3-7” has been developed and implemented in China since early 2012, and has played an important role in efficiently detecting, treating and responding to individual malaria cases and eliminating the source of infection promptly [20–23]. In addition, a lot of training has been conducted to strengthen capacity building. For example, a national competition measuring the skills of microscopists has been held every year since 2011, which has improved the competency of microscopists at different levels and provided strong technical support for malaria elimination [24, 25].
Challenges to achieve the final goal of a malaria free China by 2020 are mainly related to cross-border and imported malaria. There are 25 counties along the 4060-km borderline of Yunnan Province with Myanmar, Laos and Vietnam. The border areas belong to a mixed endemic area with transmission of P. falciparum and P. vivax malaria throughout the year. The natural environment in these areas is complex and a variety of malaria vectors, such as Anopheles dirus and A. minimus, usually co-exist in one setting and have a high vector capacity for transmitting malaria [26–28]. Furthermore, there is a large cross-border mobile population, as there is no natural barrier in China-Myanmar border areas and this makes management of imported malaria a great challenge [29, 30]. The other border area is Motuo County in Tibet Autonomous Region, which is one of the poorest areas in China and borders with India. The population of Motuo is only 10 000, but the county’s ability to carry out a malaria elimination programme is limited due to the poor quality transportation and health system. Furthermore, because basic information including malaria epidemiology, biology of local parasites and vectors still remains poorly understood in Motuo, there are currently no effective strategies and measures for malaria elimination in this county [9, 31].
Another challenge is the increase of imported malaria cases from other countries, especially from Africa. Local malaria has been effectively controlled in most areas of China, however, with the increase of China’s cross-border trade and foreign aid projects, imported cases have increased rapidly in recent years [9, 32, 33]. An outbreak with more than 874 imported cases even occurred in Shanglin County from May to August 2013 . Almost all of the P/A/M (except for Inner Mongolia) in China (31/32) has reported imported malaria cases in recent years [9, 35]. Without sufficient awareness and experience of handling imported malaria cases, most clinicians are facing new challenges in diagnosis and treatment of this type of malaria. Severe cases and even death have occurred in China every year. Surveys showed that in some areas, the proportion of patients diagnosed within 24 h of onset was only 13.3 % and the proportion of patients diagnosed at township-level hospitals was only 4.3 %. Misdiagnosis and missed diagnosis also occurred in some provincial/city hospitals , which undoubtedly brings the potential risk of reintroducing malaria into areas where transmission has been eliminated, but vectors still remain.
When planning for the next stage towards the elimination of malaria in China, the first point to emphasise is governmental support. Governments’ commitment at all levels should further strengthen and ensure substantial and consistent funding. The funding mechanisms of the Central Government need to be changed to address the new malaria situation. For example, funding coverage needs to be extended from historically malaria-endemic areas to 31 P/A/M, as imported cases are being reported in almost every part of China. In addition, the funding priority should shift to controlling malaria at border areas and the management of imported malaria. Secondly, new operational strategies need to be developed to achieve and maintain malaria elimination . For example, network methods can be used to reach hard-to-reach populations such as migrant labourers and to improve the management of imported malaria . New mechanisms for inter-sectorial cooperation and information exchange need to be further explored in order to deal with imported malaria more efficiently, such as through international cooperation at cross-border areas in Yunnan Province and neighbouring countries. This should include such factors as strengthening the village-level capacity for malaria diagnosis and treatment and county-level surveillance and response ability, and discovering malaria cases and managing them among the cross-border mobile population, thus reducing malaria on the Myanmar side. Other international collaborations such as through the Asia Pacific Malaria Elimination Network , the Asia Pacific Leaders Malaria Alliance , Chinese aid programmes for African countries and China’s Belt and Road Initiative will also be critical for the control of imported malaria; such collaborations will also contribute to malaria elimination in other countries by introducing China’s experiences, lessons and expertise in malaria control [41, 42]. In addition, operational researches need to be carried out for malaria elimination such as diagnostic methods for cases of malaria with low parasitemia, molecular techniques to distinguish local and imported cases, effective methods for monitoring drug resistance and susceptibility of local malaria vectors to imported cases . Thirdly, an effective and sustainable malaria surveillance and response system tailored to local settings needs to be further developed . Although no local malaria cases have been reported in most parts of China by 2014, malaria vectors still exist and the capacity of malaria control is still limited in some regions. This means that constant vigilance for imported cases will be important for the regions that are in the phase of preventing the reintroduction of malaria, especially in the cross-border region where importation risk is relatively high . Fourthly, assessments for transmission risks need to be urgently conducted in order to develop targeted strategies and measures for surveillance and response in the regions that have passed the sub-national elimination assessment .
The NMEP in China is successfully being implemented and the malaria map has been shrunk dramatically. The next five years are critical for achieving the goal of a completely malaria-free China by 2020. The priorities are malaria elimination at border areas, management of imported malaria, preventing malaria reintroduction, capacity building, and sustainability of malaria surveillance and response.
action plan of China malaria elimination
China information system for disease control and prevention
indoor residual spraying
long-lasting insecticide-treated net
National Malaria Elimination Programme
provinces autonomous regions and municipalities
TH, JC and ZF conceived and planned the study. TH and YL conducted the analysis and wrote the paper. SZ (Shaosen Zhang) collected and managed the data and drew the maps. ZX, SZ (Shuisen Zhou) and JY contributed to the data interpretation and coordination. All authors discussed the results and contributed to the revision of the final paper. All authors read and approved the final manuscript.
This work was supported by the National S & T Major Programme (No.2012ZX10004-220), National Health and Family Project (Malaria Elimination Assessment and Malaria Policy Analysis), the China UK Global Health Support Programme (No. GHSP-CS-OP1) and the Jiangsu Science and Technology Department (No. BM2015024).
The authors declare that they have no competing interests. The funders had no role in the study design, data collection and analysis, decision to publish or preparation of the paper.
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- World Malaria Report 2015. Geneva: World Health Organization; 2015. Available at http://www.who.int/malaria/publications/world_malaria_report_2014/en/.
- Tang L. Achievements in the research on the prevention and treatment of malaria in China. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 1999;17(5):257–9.PubMedGoogle Scholar
- Yin JH, Zhou SS, Xia ZG, Wang RB, Qian YJ, Yang WZ, Zhou XN. Historical patterns of malaria transmission in China. Adv Parasitol. 2014;86:1–19.View ArticlePubMedGoogle Scholar
- Hsiang MS, Hwang J, Tao AR, Liu Y, Bennett A, Shanks GD, Cao J, Kachur SP, Feachem RG, Gosling RD, et al. Mass drug administration for the control and elimination of Plasmodium vivax malaria: an ecological study from Jiangsu province. Chin Malar J. 2013;12:383.View ArticleGoogle Scholar
- Zhang Q, Lai S, Zheng C, Zhang H, Zhou S, Hu W, Clements AC, Zhou XN, Yang W, Hay SI, et al. The epidemiology of Plasmodium vivax and Plasmodium falciparum malaria in China, 2004–2012: from intensified control to elimination. Malar J. 2014;13:419.View ArticlePubMedPubMed CentralGoogle Scholar
- Zhou SS, Wang Y, Li Y. Malaria situation in the People’s Republic of China in 2010. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2011;29(6):401–3.PubMedGoogle Scholar
- Feachem RG, Phillips AA, Hwang J, Cotter C, Wielgosz B, Greenwood BM, Sabot O, Rodriguez MH, Abeyasinghe RR, Ghebreyesus TA, et al. Shrinking the malaria map: progress and prospects. Lancet. 2010;376(9752):1566–78.View ArticlePubMedPubMed CentralGoogle Scholar
- Health CMo. Action Plan of China Malaria Elimination (2010–2020). Beijing: Health CMo; 2010.Google Scholar
- Feng J, Xiao H, Xia Z, Zhang L, Xiao N. Analysis of Malaria Epidemiological Characteristics in the People’s Republic of China, 2004–2013. Am J Trop Med Hyg. 2015;93(2):293–9.View ArticlePubMedGoogle Scholar
- Zhou XN, Xia ZG, Wang RB, Qian YJ, Zhou SS, Utzinger J, Tanner M, Kramer R, Yang WZ. Feasibility and roadmap analysis for malaria elimination in China. Adv Parasitol. 2014;86:21–46.View ArticlePubMedGoogle Scholar
- The state council of the People’s Republic of China [http://english.gov.cn]. Accessed 18 May 2016.
- Yin JH, Yan H, Huang F, Li M, Xiao HH, Zhou SS, Xia ZG. Establishing a China malaria diagnosis reference laboratory network for malaria elimination. Malar J. 2015;14:40.View ArticlePubMedPubMed CentralGoogle Scholar
- Sun DW, Du JW, Wang GZ, Li YC, He CH, Xue RD, Wang SQ, Hu XM. A Cost-Effectiveness Analysis of Plasmodium falciparum Malaria Elimination in Hainan Province, 2002–2012. Am J Trop Med Hyg. 2015;93(6):1240–8.View ArticlePubMedGoogle Scholar
- WHO. Global Technical Strategy for Malaria 2016–2030. Geneva, Switzerland: World Health Organization; 2015.
- T S: Chairman’s Statement of 9th East Asia Summit. Nay Pyi Taw, Myanmar; 2014. http://www.asean.org/storage/images/pdf/2014_upload/9th%20EAS%20Chairman's%20Statement%20(Fnial).pdf. Accessed 18 May 2016.
- Hsiang MS, Gosling RD. Striding Toward Malaria Elimination in China. Am J Trop Med Hyg. 2015;93(2):203–4.View ArticlePubMedPubMed CentralGoogle Scholar
- Diouf G, Kpanyen PN, Tokpa AF, Nie S. Changing landscape of malaria in China: progress and feasibility of malaria elimination. Asia Pac J Public Health. 2014;26(1):93–100.View ArticlePubMedGoogle Scholar
- Wang RB, Zhang QF, Zheng B, Xia ZG, Zhou SS, Tang LH, Gao Q, Wang LY, Wang RR. Transition from control to elimination: impact of the 10-year global fund project on malaria control and elimination in China. Adv Parasitol. 2014;86:289–318.View ArticlePubMedGoogle Scholar
- Shang L, Gao Q, Liu X, Huang G. Evaluation on the effect of cooperative malaria control in 5 provinces of central China in 30 years. Chin J Pathog Biol. 2006;1(1):51–3.Google Scholar
- Cao J, Sturrock HJ, Cotter C, Zhou S, Zhou H, Liu Y, Tang L, Gosling RD, Feachem RG, Gao Q. Communicating and monitoring surveillance and response activities for malaria elimination: China’s “1-3-7” strategy. PLoS Med. 2014;11(5):e1001642.View ArticlePubMedPubMed CentralGoogle Scholar
- Feng XY, Xia ZG, Vong S, Yang WZ, Zhou SS. Surveillance and response to drive the national malaria elimination program. Adv Parasitol. 2014;86:81–108.View ArticlePubMedGoogle Scholar
- Zhou SS, Zhang SS, Zhang L, Rietveld AE, Ramsay AR, Zachariah R, Bissell K, Van den Bergh R, Xia ZG, Zhou XN, et al. China’s 1-3-7 surveillance and response strategy for malaria elimination: Is case reporting, investigation and foci response happening according to plan? Infect Dis Poverty. 2015;4:55.View ArticlePubMedPubMed CentralGoogle Scholar
- Wang WM, Zhou HY, Liu YB, Cao YY, Cao J, Gao Q. Establishment of malaria early warning system in Jiangsu Province IV Implementation of key measures to eliminate malaria in Jiangsu Province in 2013. Zhongguo xue xi chong bing fang zhi za zhi. 2015;27(2):134–8. 161.PubMedGoogle Scholar
- Zhang SS, Xia ZG, Yin JH, Yan H, Zhou SS, Li SZ, Zheng X, Huang F, Li M, Chen HT, et al. Analysis report of the national technique competition for diagnosis of parasitic diseases in 2012: I. Capability analysis of Plasmodium detection. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2013;31(2):131–4.PubMedGoogle Scholar
- Fu Q, Li SZ, Wang Q, Zhang L, Liu W, Zheng X, Zhang SS, Xia ZG, Zhou SS, Chen Z, et al. Report of analysis of National Technique Competition for Diagnosis of Parasitic Diseases in 2011--II Analysis of capabilities of Plasmodium detection. Zhongguo xue xi chong bing fang zhi za zhi. 2012;24(3):274–8.PubMedGoogle Scholar
- Li BF, Lin YX, Guo XR, Chen LF, Zhou DL, Yu GC, Zou J, Sun XD. Survey on Malaria Epidemics in China-Myanmar Border Area. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2015;33(4):261–3.PubMedGoogle Scholar
- Yu G, Yan G, Zhang N, Zhong D, Wang Y, He Z, Yan Z, Fu W, Yang F, Chen B. The Anopheles community and the role of Anopheles minimus on malaria transmission on the China-Myanmar border. Parasit Vectors. 2013;6(1):264.View ArticlePubMedPubMed CentralGoogle Scholar
- Chen B, Harbach RE, Butlin RK. Molecular and morphological studies on the Anopheles minimus group of mosquitoes in southern China: taxonomic review, distribution and malaria vector status. Med Vet Entomol. 2002;16(3):253–65.View ArticlePubMedGoogle Scholar
- Xu J, Liu H. The challenges of malaria elimination in Yunnan Province, People’s Republic of China. Southeast Asian J Trop Med Public Health. 2012;43(4):819–24.PubMedGoogle Scholar
- Cui L, Yan G, Sattabongkot J, Cao Y, Chen B, Chen X, Fan Q, Fang Q, Jongwutiwes S, Parker D, et al. Malaria in the Greater Mekong Subregion: heterogeneity and complexity. Acta Trop. 2012;121(3):227–39.View ArticlePubMedPubMed CentralGoogle Scholar
- Zhang ZX, Zhou HN, Zhao XT, Chang FX, Wang HJ, Li XJ, Zhuoma YJ, Ciren Q, Bianma Z, Sangdan L, et al. Epidemiological survey on malaria situation in Motuo County of Tibet, China. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2008;26(5):343–8.PubMedGoogle Scholar
- Liu Y, Hsiang MS, Zhou H, Wang W, Cao Y, Gosling RD, Cao J, Gao Q. Malaria in overseas labourers returning to China: an analysis of imported malaria in Jiangsu Province, 2001–2011. Malar J. 2014;13:29.View ArticlePubMedPubMed CentralGoogle Scholar
- Feng J, Xiao H, Zhang L, Yan H, Feng X, Fang W, Xia Z. The Plasmodium vivax in China: decreased in local cases but increased imported cases from Southeast Asia and Africa. Sci Rep. 2015;5:8847.View ArticlePubMedPubMed CentralGoogle Scholar
- Li Z, Yang Y, Xiao N, Zhou S, Lin K, Wang D, Zhang Q, Jiang W, Li M, Feng X, et al. Malaria imported from Ghana by returning gold miners, China, 2013. Emerg Infect Dis. 2015;21(5):864–7.View ArticlePubMedPubMed CentralGoogle Scholar
- Zhang L, Feng J, Xia ZG. Malaria situation in the People’s Republic of China in 2013. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2014;32(6):407–13.PubMedGoogle Scholar
- Liu YB, Cao J, Zhou HY, Wang WM, Cao YY, Gao Q. Analysis of overseas imported malaria situation and implication for control in Jiangsu Province, PR China. Zhongguo xue xi chong bing fang zhi za zhi. 2013;25(1):44–7.PubMedGoogle Scholar
- Moonen B, Cohen JM, Snow RW, Slutsker L, Drakeley C, Smith DL, Abeyasinghe RR, Rodriguez MH, Maharaj R, Tanner M, et al. Operational strategies to achieve and maintain malaria elimination. Lancet. 2010;376(9752):1592–603.View ArticlePubMedPubMed CentralGoogle Scholar
- Cotter C, Sturrock HJ, Hsiang MS, Liu J, Phillips AA, Hwang J, Gueye CS, Fullman N, Gosling RD, Feachem RG. The changing epidemiology of malaria elimination: new strategies for new challenges. Lancet. 2013;382(9895):900–11.View ArticlePubMedGoogle Scholar
- Asia Pacific Malaria Elimination Network [http://apmen.org/]. Accessed 18 May 2016.
- Asia Pacific Leaders Malaria Alliance [http://www.aplma.org/]. Accessed 18 May 2016.
- Xia ZG, Wang RB, Wang DQ, Feng J, Zheng Q, Deng CS, Abdulla S, Guan YY, Ding W, Yao JW, et al. China-Africa cooperation initiatives in malaria control and elimination. Adv Parasitol. 2014;86:319–37.View ArticlePubMedGoogle Scholar
- Salcito K, Singer BH, Weiss MG, Winkler MS, Krieger GR, Wielga M, Utzinger J. Multinational corporations and infectious disease: Embracing human rights management techniques. Infect Dis Poverty. 2014;3(1):39.View ArticlePubMedPubMed CentralGoogle Scholar
- Chen SB, Ju C, Chen JH, Zheng B, Huang F, Xiao N, Zhou X, Ernest T, Zhou XN. Operational research needs toward malaria elimination in China. Adv Parasitol. 2014;86:109–33.View ArticlePubMedGoogle Scholar
- Zhou XN, Bergquist R, Tanner M. Elimination of tropical disease through surveillance and response. Infect Dis Poverty. 2013;2(1):1.View ArticlePubMedPubMed CentralGoogle Scholar
- Wang D, Li S, Cheng Z, Xiao N, Cotter C, Hwang J, Li X, Yin S, Wang J, Bai L, et al. Transmission Risk from Imported Plasmodium vivax Malaria in the China-Myanmar Border Region. Emerg Infect Dis. 2015;21(10):1861–4.View ArticlePubMedPubMed CentralGoogle Scholar
- Qian YJ, Zhang L, Xia ZG, Vong S, Yang WZ, Wang DQ, Xiao N. Preparation for malaria resurgence in China: approach in risk assessment and rapid response. Adv Parasitol. 2014;86:267–88.View ArticlePubMedGoogle Scholar