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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Vector-Borne Disease Control in Sub-Saharan Africa: A Necessary But Partial Vision of Development
Authors:McMillan, Della E.ISNI
Meltzer, Martin I.
Year:1996
Periodical:World Development
Volume:24
Issue:3
Period:March
Pages:569-588
Language:English
Geographic term:Subsaharan Africa
Subjects:public health
malaria
trypanosomiasis
blindness
veterinary medicine
Health and Nutrition
Development and Technology
External link:https://doi.org/10.1016/0305-750X(95)00153-4
Abstract:This paper provides a brief overview of contemporary and historic efforts to control four of the major vector-borne diseases that have plagued agricultural development in sub-Saharan Africa. These four diseases are onchocerciasis (river blindness), bovine trypanosomiasis, malaria and east coast fever. The comparative analysis reveals numerous similarities in the technical reasons why control programmes break down. It is rare, however, that the breakdown of any one disease control effort can be attributed solely to technical causes. Additional factors have been the unwillingness and/or inability of the relevant national institutions to grapple with these technical issues due to political and economic instability or shifts in government and foreign donor investment priorities. The authors conclude that there is a need to emphasize control instead of eradication; develop simpler, adaptive control technologies; support more decentralized management of human and animal health facilities; increase local participation; improve socioeconomic research that monitors the short and medium-term impact of control; and conceptualize the linkages between control and wider development issues. Bibliogr., notes, ref., sum.
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