Skip to main content

Advertisement

Log in

Malaria in Pacific populations: seen but not heard?

  • Published:
Journal of Population Research Aims and scope Submit manuscript

Abstract

Most Pacific Island countries are located in the tropics, where there is an abundance of mosquitoes with the potential to carry debilitating or life-threatening vector-borne diseases. This article examines three Melanesian countries in which malaria is endemic—Papua New Guinea, Solomon Islands and Vanuatu—but the threat posed by the spread of malaria gives the issues a broader significance to the Pacific region. After discussing the spatial distribution and prevalence of malaria in the Pacific, the article examines a number of health interventions through which people have sought to control malaria. Although the disease was nearly eradicated in the Pacific in the 1970s, it is no longer in retreat. The article concludes by examining why there are still grounds for cautious optimism, and the challenges that Pacific Island countries face in reducing the impact of malaria on their populations. There is a need for prompt and concerted action on malaria at the national, regional and international levels if the public health concerns arising from the disease are to be adequately addressed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  • Abal, S. (2007). Statement on health. Pacific Forum Post Forum Dialogue Plenary, 18 October 2007. www.forumsec.org. Accessed 12 March 2009.

  • Aponte, J., Aide, P., Renom, M., et al. (2007). Safety of the RTS, S/AS02D candidate malaria vaccine in infants living in a highly endemic area of Mozambique: A double blind randomised controlled phase I/IIb trial. Lancet, 370, 1543–1551.

    Article  Google Scholar 

  • Attaran, A., Barnes, K., Curtis, C., et al. (2004). WHO, the Global Fund, and medical malpractice in malaria treatment. Lancet, 363, 237–240.

    Article  Google Scholar 

  • Ault, S. (1989). Effect of malaria on demographic patterns, social structure, and human behavior. In M. Service (Ed.), Demography and vector-borne diseases (pp. 271–282). Boca Raton: CRC Press.

    Google Scholar 

  • Avery, J. (1974). A review of the malaria eradication program in the British Solomon Islands 1970–1972. Papua New Guinea Medical Journal, 17, 50–60.

    Google Scholar 

  • Barnett, J. (2007). Food security and climate change in the South Pacific. Pacific Ecologist, Winter, 32–36.

  • Baselala, E. (2007). Malaria campaign begins in Solomons, Vanuatu. Islands Business. June. http://www.islandsbusiness.com. Accessed 12 March 2009.

  • Bejon, P., Lusingu, J., Olotu, A., et al. (2008). Efficacy of RTS, S/AS01E vaccine against malaria in children 5 to 17 months of age. New England Journal of Medicine, 359, 2521–2532.

    Article  Google Scholar 

  • Belkin, J. (1962). The mosquitoes of the South Pacific. Berkeley: University of California Press.

    Google Scholar 

  • Bishop, R., & Litch, J. (2000). Malaria at high altitude. Journal of Travel Medicine, 7, 157–158.

    Google Scholar 

  • Black, R. (1955). Malaria in the South-West Pacific. Noumea: South Pacific Commission.

    Google Scholar 

  • Breman, J. (2001). The ears of the hippopotamus: Manifestations, determinants, and estimates of the malaria burden. American Journal of Tropical Medicine and Hygiene, 64(Suppl. 1–2), 1–11.

    Google Scholar 

  • Breman, J., Alilio, M., & Mills, A. (2004). Conquering the intolerable burden of malaria: What’s new, what’s needed: A summary. American Journal of Tropical Medicine and Hygiene, 71(Suppl. 2), 1–15.

    Google Scholar 

  • Bruce-Chwatt, L. (1981). Alphonse Laverant’s discovery 100 years ago and today’s global fight against malaria. Journal of the Royal Society of Medicine, 74, 531–536.

    Google Scholar 

  • Buxton, P., & Hopkins, A. (1927). Researches in Polynesia and Melanesia, parts I–IV. Memoirs of the London School of Hygiene and Tropical Medicine, 1, 1–260.

    Google Scholar 

  • Carson, R. (1962). Silent spring. Boston: Houghton Mifflin.

    Google Scholar 

  • Centers for Disease Control and Prevention. (1999). Achievements in public health, 1900–1999: Changes in the public health system. Morbidity and Mortality Weekly Report, 48, 1141–1147.

    Google Scholar 

  • Finau, S. (1979). Malaria in Tonga: An imported case. New Zealand Medical Journal, 90, 465–466.

    Google Scholar 

  • Finkel, M. (2007). Bedlam in the blood: Malaria. National Geographic, 212(1), 32–67.

    Google Scholar 

  • Foster, W., & Walker, E. (2002). Mosquitoes (Culicidae). In G. Mullen & L. Durden (Eds.), Medical and veterinary entomology (pp. 203–262). San Diego: Academic Press.

    Chapter  Google Scholar 

  • Gage, K., Burkot, T., Eisen, R., et al. (2008). Climate and vectorborne diseases. American Journal of Preventive Medicine, 35, 436–450.

    Article  Google Scholar 

  • Gallup, J., & Sachs, J. (2001). The economic burden of malaria. American Journal of Tropical Medicine and Hygiene, 64(Suppl. 1–2), 85–96.

    Google Scholar 

  • Garnham, P. (1966). Malaria parasites and other haemosporidia. Oxford: Blackwell.

    Google Scholar 

  • Garrett-Jones, C. (1964). Prognosis for interruption of malaria transmission through assessment of the mosquito’s vectorial capacity. Nature, 204, 1173–1174.

    Article  Google Scholar 

  • Global Burden of Disease Study. (2008). The global burden of diseases, injuries, and risk factors study: Operations manual. Final Draft. http://globalburden.org/gbdops.html. Accessed 12 March 2009.

  • Gratz, N., Steffen, R., & Cocksedge, W. (2000). Why aircraft disinsection? Bulletin of the World Health Organization, 78(8), 995–1004.

    Google Scholar 

  • Guerra, C., Gikandi, P., Tatem, A., et al. (2008). The limits and intensity of Plasmodium falciparum transmission: Implications for malaria control and elimination worldwide. PLoS Medicine, 5(2), e38. doi:10.1371/journal.pmed.0050038.

    Article  Google Scholar 

  • Hay, S., Guerra, C., Tatem, A., et al. (2004). The global distribution and population at risk of malaria: Past, present and future. Lancet Infectious Diseases, 4, 327–336.

    Article  Google Scholar 

  • Hay, S., & Snow, R. (2006). The Malaria Atlas project: Developing global maps of malaria risk. PLoS Medicine, 3(12), e473. doi:10.1371/journal.pmed.0030473.

    Article  Google Scholar 

  • Hercus, C. (1948–1949). New Zealand’s responsibility for medical research in the south-west Pacific. Transactions and Proceedings of the Royal Society of New Zealand, 77, 303–306.

    Google Scholar 

  • Intergovernmental Panel on Climate Change. (2007). Fourth assessment report. Climate change 2007: Synthesis report. www.ipcc.ch/ipccreports/ar4-syr.htm. Accessed 12 March 2009.

  • Iyengar, M. (1955). Distribution of mosquitoes in the South Pacific. Noumea: South Pacific Commission.

    Google Scholar 

  • Jones, C., & Williams, H. (2004). The social burden of malaria: What are we measuring? American Journal of Tropical Medicine and Hygiene, 71(Suppl. 2), 156–161.

    Google Scholar 

  • Joy, R. (1999). Malaria in American troops in the south and southwest Pacific in World War II. Medical History, 43, 192–207.

    Google Scholar 

  • Keith-Reid, R. (1983). Malaria plague boom. Islands Business, June, 29–30.

  • Kelly, K. (2000). Malaria and immunoglobulins in Pacific prehistory. American Anthropologist, 101(4), 806–809.

    Article  Google Scholar 

  • Kere, N., Keni, J., Kere, J., et al. (1993). The economic impact of Plasmodium falciparum malaria on education investment: A Pacific Island case study. Southeast Asian Journal of Tropical Medicine and Public Health, 24, 659–663.

    Google Scholar 

  • Kere, J., & Kere, N. (1992). Bednets or spraying? Cost analysis of malaria control in the Solomon Islands. Health Policy and Planning, 7, 383–386.

    Article  Google Scholar 

  • Kimura, M., Tamam, M., Soemantri, A., et al. (2003). Distribution of a 27-bp deletion in the band 3 gene in South Pacific islanders. Journal of Human Genetics, 48(12), 642–645.

    Article  Google Scholar 

  • Kuno, G. (2007). Research on dengue and dengue-like illness in East Asia and the Western Pacific during the first half of the 20th century. Reviews in Medical Virology, 17, 327–341.

    Article  Google Scholar 

  • Kwiatkowski, D. (2005). How malaria has affected the human genome and what human genetics can teach us about malaria. American Journal of Human Genetics, 77, 171–190.

    Article  Google Scholar 

  • Lepers, C. (2007). Dengue: an incessant threat. InformAction, 27. www.spc.int/phs/index.php. Accessed 12 March 2009.

  • Lounibos, L. (2002). Invasions by insect vectors of human disease. Annual Review of Entomology, 47, 233–266.

    Article  Google Scholar 

  • Lum, J. (2007). Contributions of population origins and gene flow to the diversity of neutral and malaria selected autosomal genetic loci of Pacific Island populations. In J. Scott-Friedlander (Ed.), Genes, language, and culture history in the Southwest Pacific (pp. 219–230). Oxford: Oxford University Press.

    Chapter  Google Scholar 

  • Lysenko, A., & Semashko, I. (1968). Geography of malaria: A medico-geographic profile of an ancient disease. In A. Lebedew (Ed.), Medicinskaja geografija (pp. 25–146). Moscow: USSR Academy of Sciences.

    Google Scholar 

  • Malaria Atlas Project. (2009). Department of Zoology, University of Oxford. www.map.ox.ac.uk. Accessed 12 March 2009.

  • Martens, P., & Hall, L. (2000). Malaria on the move: Human population movement and malaria transmission. Emerging Infectious Diseases, 6(2), 103–109.

    Article  Google Scholar 

  • Mathers, C., Ezzati, M., & Lopez, A. (2007). Measuring the burden of neglected tropical diseases: The global burden of disease framework. PLoS Neglected Tropical Diseases, 1(2), e114. doi:10.1371/journal.pntd.0000114.

    Article  Google Scholar 

  • McMichael, A., Woodruff, R., & Hales, S. (2006). Climate change and human health: Present and future risks. Lancet, 367, 859–869.

    Article  Google Scholar 

  • Mendis, K., Sina, B., Marchesini, P., et al. (2001). The neglected burden of Plasmodium vivax malaria. American Journal of Tropical Medicine and Hygiene, 64(Suppl. 1–2), 97–106.

    Google Scholar 

  • Miles, J. (1997). Infectious diseases: Colonising the Pacific?. Dunedin: Otago University Press.

    Google Scholar 

  • Narasimhan, V., & Attaran, A. (2003). Roll Back Malaria? The scarcity of international aid for malaria control. Malaria Journal, 2, e8. doi:10.1186/1475-2875-2-8.

    Article  Google Scholar 

  • Neich, R., & Pendergrast, M. (2001). Tapa of the Pacific. Auckland: David Bateman.

    Google Scholar 

  • Norris, D. (2004). Mosquito-borne diseases as a consequence of land use change. EcoHealth, 1, 19–24.

    Article  Google Scholar 

  • Omran, A. (1971). The epidemiological transition: A theory of the epidemiology of population change. Millbank Quarterly, 49, 509–537.

    Google Scholar 

  • Over, M., Bakote’e, B., Velayudhan, R., et al. (2004). Impregnated nets or DDT residual spraying? Field effectiveness of malaria prevention techniques in Solomon Islands 1993–1999. American Journal of Tropical Medicine and Hygiene, 71(Suppl. 2), 214–223.

    Google Scholar 

  • Pacific Islands Forum Secretariat (PIFS). (2005). Pacific plan for strengthening regional cooperation and integration. www.forumsec.org. Accessed 12 March 2009.

  • Paul, R., Ariey, F., & Robert, V. (2003). The evolutionary ecology of Plasmodium. Ecology Letters, 6, 866–880.

    Article  Google Scholar 

  • Pearce, F. (2007). How the world let malaria off the hook. New Scientist, 2624, 56.

    Article  Google Scholar 

  • Price, R., Tjitra, E., Guerra, C., et al. (2007). Vivax malaria: Neglected but not benign. American Journal of Tropical Medicine and Hygiene, 77(Suppl. 6), 79–87.

    Google Scholar 

  • Ram, P., & Malani, W. (1978). Imported malaria in Fiji. Fiji Medical Journal, 6, 24–26.

    Google Scholar 

  • Reisen, W. (2002). Epidemiology of vector-borne diseases. In G. Mullen & L. Durden (Eds.), Medical and veterinary entomology (pp. 15–27). San Diego: Academic Press.

    Chapter  Google Scholar 

  • Reiter, P. (2001). Climate change and mosquito-borne disease. Environmental Health Perspectives, 109(Suppl. 1), 141–161.

    Article  Google Scholar 

  • Russell, P. (1955). Man’s mastery of malaria. Oxford: Oxford University Press.

    Google Scholar 

  • Sachs, J., & Malaney, P. (2002). The economic and social burden of malaria. Nature, 415, 680–685.

    Article  Google Scholar 

  • Secretariat of the Pacific Community (SPC). (2008). Populations and demographic indicators 2008. www.spc.int/sdp/. Accessed 12 March 2009.

  • Service, M. (2004). Medical entomology for students (3rd ed.). Cambridge: Cambridge University Press.

    Google Scholar 

  • Smith, D. (2005). The entomological inoculation rate and Plasmodium falciparum infection in African children. Nature, 438, 492–495.

    Article  Google Scholar 

  • Snow, R., Guerra, C., Noor, A., et al. (2005). The global distribution of clinical episodes of Plasmodium falciparum malaria. Nature, 434, 214–217.

    Article  Google Scholar 

  • Spielman, A., & D’Antonio, M. (2001). Mosquito: The story of man’s deadliest foe. London: Faber & Faber.

    Google Scholar 

  • Susser, M., & Susser, E. (1996). Choosing a future for epidemiology: I Eras and paradigms. American Journal of Public Health, 86, 668–673.

    Article  Google Scholar 

  • Sutter, P. (2007). Nature’s agents or agents of Empire? Entomological workers and environmental change during the construction of the Panama Canal. Isis, 98, 724–754.

    Article  Google Scholar 

  • Tatem, A., Rogers, D., & Hay, S. (2006a). Global transport networks and infectious disease spread. Advances in Parasitology, 62, 293–343.

    Article  Google Scholar 

  • Tatem, A., Rogers, D., & Hay, S. (2006b). Estimating the malaria risk of African mosquito movement by air travel. Malaria Journal, 5, e57. doi:10.1186/1475-2875-5-57.

    Article  Google Scholar 

  • Tibbetts, J. (2007). Driven to extremes: Health effects of climate change. Environmental Health Perspectives, 115(4), A196–A203.

    Article  Google Scholar 

  • Tjitra, E., Anstey, N., Sugiarto, P., et al. (2008). Multidrug-resistant Plasmodium vivax associated with severe and fatal malaria: A prospective study in Papua, Indonesia. PLoS Medicine, 5(6), d128. doi:10.1371/journal.pmed.0050128.

    Article  Google Scholar 

  • United Nations World Tourism Organization (UNWTO). (2000). Tourism 2020 vision. Madrid: UNWTO.

    Google Scholar 

  • World Health Organization (WHO). (2002). The world health report: Reducing risks, promoting healthy life. Geneva: WHO.

    Google Scholar 

  • World Health Organization (WHO). (2003). Millennium development goals: The health indicators: Scope, definitions and measurement methods. Geneva: WHO.

    Google Scholar 

  • World Health Organization (WHO). (2005). World Malaria Report 2005. Geneva: WHO.

    Google Scholar 

  • World Health Organization (WHO). (2006). Guidelines for the treatment of malaria. Geneva: WHO.

    Google Scholar 

  • World Health Organization (WHO). (2008a). World malaria report 2008. Geneva: WHO.

    Google Scholar 

  • World Health Organization (WHO). (2008b). Global health atlas. www.who.int/globalatlas. Accessed 23 January 2008.

  • World Health Organization–Commission on Macroeconomics and Health (WHO–CMH). (2001). Macroeconomics and health: Investing in health for economic development. Geneva: WHO.

    Google Scholar 

  • World Health Organization–Global Malaria Program (WHO–GMP). (2007). Insecticide-treated mosquito nets: A WHO position statement. Geneva: WHO.

    Google Scholar 

  • World Health Organization–Western Pacific Regional Office (WHO–WPRO). (2009). Malaria and other vectorborne and parasitic diseases. http://www.wpro.who.int/sites/mvp/data/. Accessed 12 March 2009.

  • Young, K. (2005). Population health: Concepts and methods (2nd ed.). New York: Oxford University Press.

    Google Scholar 

Download references

Acknowledgments

The author wishes to thank Dr Christine McMurray, Dr David Brewster and two anonymous referees for their very helpful comments on a draft of this article.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Brian Opeskin.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Opeskin, B. Malaria in Pacific populations: seen but not heard?. J Pop Research 26, 175–199 (2009). https://doi.org/10.1007/s12546-009-9011-8

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12546-009-9011-8

Keywords

Navigation