Question

We are in an area of coastal Tanzania, with stable malaria. You become the leader of the scientific team advising the government on possible control methods/strategies in this area. The main vector is Anopheles merus, which breeds mostly in marshes and is exophagous. Available surveys indicate strong resistance in local Plasmodium falciparum strains to chloroquine, and developing resistance in the mosquitoes to both DDT and pyrethroids. Discuss a few of the various options for controlling malaria in this area given this information.