October 2009
Do We Still Need a Malaria Vaccine?
An unexpectedly large reduction in the burden of malaria has recently been achieved in a number of malaria endemic countries following the scaling up of effective treatment and simple vector control programs. These remarkable achievements compel the malaria community to question the need for a partially effective malaria vaccine targeted at disease prevention. In an environment with effective prevention and control tools, a malaria vaccine needs to be highly efficacious, and sustained over a number of years, if it is to replace or supplement existing control measures. Vaccines will have an important role to play in malaria control and elimination efforts; however, many of the operational and financial elements concerning vaccines must be considered to determine their most effective role in future malaria programs.
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