This review paper explores documented episodes of malaria resurgence worldwide, and assesses their association with malaria control programmes, a higher risk of disease transmission and drug resistance. It identifies 75 instances of resurgence in 61 countries over a period of 70 years, with the vast majority related to weakening control programmes, usually due to limited resources. This suggests that gains in malaria control can be lost rapidly if support is not sustained. The authors argue that finding ways to sustain funding for control programmes is crucial, and that there is an urgent need to develop practical solutions to operational and technical threats to their success.

This peer-reviewed report, from the UK Department for International Development (DFID), summarises current evidence on malaria, covering topics that range from epidemiology to public health interventions, disease management and elimination. It focuses on areas where policy or practical decisions have to be made, mainly by DFID and its development partners.

The paper is divided into sections that provide an overview of issues such as determinants of infection, high-risk groups, artemisinin and insecticide resistance, and interventions such as vector control. These correspond to areas relevant to decision making, with the report being a 'portal' to more detailed information rather than a definitive document. Because many of the issues addressed are context-specific, the paper should be read in conjunction with country profiles published by DFID as well as country-specific data available in the World Malaria Report.

This special issue of the journal Philosophical Transactions of the Royal Society B: Biological Science explores how vaccines can fulfil their full potential for addressing global health challenges. It charts the progress to date, reviewing successes as well as challenges in the development and distribution of both human and veterinary vaccines.

The articles describe how vaccines can help mitigate and treat the world's major infectious diseases such as malaria, tuberculosis and HIV/AIDS, as well as chronic diseases, such as cancer. They explore vaccine policy and financing, ways to accelerate the development of new vaccines, issues surrounding public acceptance, and the logistics of getting vaccines to where they are needed. Also discussed is the use of vaccines to treat diseases in livestock — making an important link between health interventions, agricultural output and economic consequences.

The papers in this issue were presented at the meeting, 'New vaccines for global health', held at the Royal Society in London, United Kingdom, in November 2010.

This report makes a case for the importance of antimalarial drug monitoring as an integral part of disease surveillance programmes in developing countries. Antimalarials are some of the most commonly counterfeited drugs — the high prevalence of malaria translates to a large consumer market in the developing world. The problem is serious in South-East Asia but is expected to become significant in African countries too. The report suggests that scientists ensure drugs are genuine and of a good quality before conducting efficacy or resistance studies in areas where counterfeits circulate widely.

Too few effective antimalarials and poor use of bednets are two main reasons offered for why malaria still kills millions every year. This systematic review suggests that social and cultural factors in tackling malaria are often ignored. For example, many people in the developing world still use traditional medicine to treat malaria, which is often blamed on spiritual problems or curses, and can be a barrier to effective treatment.

This paper explains how interdisciplinary collaboration in health, nutrition, and agriculture has helped the Millennium Villages Project in 12 African villages meet the Millennium Development Goals.

Global science is increasingly under pressure to become more interdisciplinary. Econutrition is a good example of a cross-sector concept that joins environmental and human health, focusing on crosscutting areas such as agriculture and ecology.

Soil erosion and decreasing biodiversity causes environmental damage that lowers food production. A lack of food results in malnutrition and illness that, in turn, lead to poorer labour productivity and poorer agricultural management.

The Millennium Villages Project emphasises community engagement and leadership, and the case study from the Nyanza Province near Lake Victoria in Kenya illustrates that this can work well in improving nutrition.

One-fifth of adults in the area have HIV and many have malaria and TB. People in the region go hungry for up to seven months a year and are malnourished. The villagers constructed a health clinic and organised teams of community healthcare workers trained in nutrition.

Farmers receive fertilisers and plants if they donate ten per cent of their harvest towards a school lunch programme that concentrates on providing missing nutrients. For example, by adding local crops such as sweet potatoes common vitamin A deficiencies are eliminated. The key to success, say the authors, is to ensure that farmers are supported, especially in producing a variety of crops.

The author list for this collection of chapters, with names like Cesar Victora and Carine Ronsman, reads like a 'Who's Who' in nutrition and health for the developing world. The chapter topics are wide-ranging and include subjects such as the economics of nutrition programmes, the extent to which scientific data influences nutrition policies, and the challenge of providing food aid during humanitarian emergencies.

Each chapter is organised as a scientific paper. Most usefully perhaps, the authors of each chapter include both their conclusions, and a separate list of recommendations for researchers and policymakers.

This journal article, written by three researchers in Trinidad and Tobago, looks at malaria in the Caribbean. It asks why there are still outbreaks — including a big one in Jamaica in 2006/2007 — when the disease was allegedly eliminated in the late 1950s. The authors review malaria and vector data from across the Caribbean, summarising the pattern of imported cases as well as indigenous ones.

They identify three essential conditions for malaria transmission: presence of the vector, imported organisms and susceptible human hosts — all of which the authors show still exist across the Caribbean.

The authors suggest specific actions for regional policymakers to combat malaria. These include enhancing vector control skills, strengthening surveillance with new technologies, upgrading malaria therapy, increasing prevention strategies such as bed nets and raising public awareness of malaria. They emphasise that the role of climate change must be considered too, saying that rising temperatures could lead to new malaria vectors entering and colonising Caribbean islands and transmitting malaria on a major scale. But the authors are also careful to point out that the link to climate change is uncertain and remains contested in scientific circles.

This report from the WHO assesses the potential for creating early warning systems for vector-borne disease. It reviews the current state of research for several diseases such as dengue fever, leishmaniasis, malaria and West Nile virus.

The report includes an algorithmic framework for developing early warning systems, outlining data requirements and the different components of the system. It also contains two useful tables: one on the sensitivity of different infectious diseases to climate; and one summarising the existing research, identifying in which region the disease is most common, data availability and proposed actions.

A key problem in developing early warning systems, as highlighted by this report, is that non-climatic risk factors such as population immunity and food security strongly affect the potential for a disease outbreak. Equally challenging is the poor disease surveillance in many developing countries — the authors call on these countries to strengthen these systems, to help in the fight against climate change.

The report concludes that it will be important for researchers not to design these systems in isolation — health policymakers should be included at all stages of the design.

The third IPCC assessment report, Climate Change 2001, includes this section on the links between climate change and health. It offers a detailed look at how variations in climate, such as temperature or rainfall, could affect vector-borne disease. In particular, it evaluates computer models that predict climate impact on dengue fever and malaria. The assessment also looks at specific diseases such as leishmaniasis or schistosomiasis, explaining how the disease is spread and how changes in the environment might alter that spread.

The authors take a holistic look at the various factors involved. For example, in assessing schistosomiasis, they also consider the irrigation systems that will likely be needed to cope with expected water shortages resulting from climate change. The schistosomiasis parasite uses water snails as an intermediate host, so irrigation systems will need to be designed in such a way that they do not cause snail populations to multiply.

An update to the research on climate and vector-borne disease is also included in the fourth IPCC assessment report[796kB] although not in as much detail.

This Nature paper reviews evidence that a changing climate poses significant health risks and that global warming over the past few years has already increased illness and death worldwide.

Infectious diseases are strongly affected by climatic variations because the vectors that carry the bacteria or viruses do not have thermoregulatory mechanisms, say the authors. One of the most important existing sources of climatic variability is El Niño. This weather system has been shown to influence malaria in South America, rift valley fever in east Africa, cholera in Bangladesh and dengue fever in Thailand. If, as some scientists have suggested, climate change alters El Niño, the consequences will be significant.

The authors say there are some promising early warning systems for infectious disease. In Botswana, for example, two-thirds of the inter-annual variability of malaria can be predicted from sea surface temperatures and monthly rainfall.

Paul Reiter, a researcher on insects and infectious disease at the Institut Pasteur in France, is not convinced that climate change will cause a rise in malaria in tropical regions. In this opinionated review he sets out to dispel widely held "common misconceptions" about the effect of climate variability on future transmission.

To do so, he examines the history of malaria. He finds that in the past, contrary to expectations, climate has often not affected the transmission of the malaria parasite. Researchers claim that the Anopheles mosquito that carries the parasite cannot survive extreme temperatures, yet Reiter cites examples of the mosquito finding ways to adapt. In Sudan, for example, they can survive temperatures of over 55 degrees Celsius by hiding in buildings in daytime and only feeding after midnight.

Reiter's main disagreement with prediction models is that they only look at how one climate variable, temperature, is likely to interact with mosquito populations. Temperature, rainfall and humidity are interconnected and cannot be analysed separately, he says. The ecology of mosquitoes and humans is too complex to predict future malaria prevalence and incidence from temperature alone, he adds.

As global temperatures rise, vector-borne disease is set to increase in the developing world but patterns will vary across countries. This review looks at how the prevalence of vector-borne disease will change in Africa, Asia, Australia, Europe, North America and South America.

As the authors explain, urbanisation levels will determine which diseases are likely to hit hardest. For example, dengue fever is a largely urban disease and will affect South America, where over 70 per cent of the population live in cities, far more than it will Sub-Saharan Africa, where less than 30 per cent of people live in urban areas. Malaria, by contrast, will have a bigger impact in Africa.

As ecosystems change, so will the distribution of vector species. Some will find their habitats expanded. A positive note is that most vectors cannot survive above about 40 degrees Celsius, so regions in which warming tips the temperature over this level could well see a drop in vector-borne disease — this is starting to be seen in Senegal, for example.

But the precise extent to which climate variability affects vector-borne disease is yet unknown, say the authors, which hampers evidence-based policy change.

This report provides a policy framework for assessing the impacts of climate change on health, including vector-borne disease, by considering five challenges: informational, poverty and equity-related, technological, sociopolitical and institutional.

It begins with a detailed outline of climate science so far and the financial cost of adaptation. The informational challenges relate to better monitoring and surveillance to gather urgently needed data on disease and mortality in different regions, and early warning systems to predict extreme weather events and associated disease outbreaks. Technological challenges include the development of vaccines for diseases such as malaria and dengue fever.

How do policymakers tackle such challenges? A key move will be for government and non-government agencies, academia and civil society to collaborate internationally. Surveillance and primary health information systems in developing countries must be improved and local communities need to share adaptation strategies.

Adapting to climate change also means investing in food security, clean water supplies and reforestation. Policymakers also need to stimulate industry to develop low-cost methods for recycling wastewater and desalinating sea water. Mitigating and adapting to climate change, say the authors, has become inextricable from policies to eradicate poverty or closing the gap on social inequalities and health.

This paper maps African countries' knowledge base through patent applications and publications. It shows South Africa as academically, and technically, the strongest country of the continent. The number of publications is growing in other African countries, but patenting remains limited all-round.

The paper ends on a positive note, arguing that African countries already possess the basis for knowledge-driven development.

This draft document contains general guidelines on the creation and governance of health research ethics committees (HRECs) in Nigeria.

It also lists the principal characteristics research projects need to demonstrate in order to gain HREC approval. Research in Nigeria must have social or scientific value, be scientifically valid, ensure fair selection of participants, minimise health risks and undergo independent review. In addition, all participants of research projects must give their informed consent and be respected at all times. All projects must adhere to good clinical and laboratory practices. Researchers must do all they can to ensure their work has a lasting impact — transferring technology where appropriate and contributing to capacity building efforts.

This collection of articles forms an operational guide on how to conduct evaluations of diagnostic tests for malaria. It was published as a special supplement in Nature Reviews Microbiology. The collection includes an introduction, two review articles and a relevant set of guidelines.

The first review, A guide for diagnostic evaluations, provides background information, discussing why good quality diagnostic tests for malaria are needed, how they are evaluated and how regulatory standards can control the introduction and use of diagnostic tests. The second, Ensuring quality and access for malaria diagnosis: how can it be achieved?, focuses on the availability and use of diagnostic tests that perform reliably and accurately under field conditions and emphasises the need for community-based health management.

The guidelines, Evaluation of rapid diagnostic tests: malaria, outline the principles for evaluating malaria rapid diagnostic tests (RDTs). It stresses the need for field tests and describes the issues that can affect study design, RDT performance, standards and quality assurance and the effects of storage and cultured parasites in lab-based trials.

A vaccine that stops people passing on the malaria parasite to others would benefit communities rather than individuals — since individuals could still become infected with the malaria parasite. This report summarises this and other conclusions of a 1999 meeting between international scientists and representatives of industry, funding agencies and the World Health Organization to discuss the feasibility of developing and using such a vaccine to control and prevent malaria in different types of epidemics.

A vaccine that stops people passing on the malaria parasite to others would benefit communities rather than individuals — since individuals could still become infected with the malaria parasite. This report summarises this and other conclusions of a 1999 meeting between international scientists and representatives of industry, funding agencies and the World Health Organization to discuss the feasibility of developing and using such a vaccine to control and prevent malaria in different types of epidemics.

This clearly written review examines many current questions about using Intermittent Preventive Treatment (IPT) in pregnant women or in infants to reduce the numbers of clinical episodes and deaths due to malaria. Treatment is given at fixed time intervals regardless of whether the person is infected. This means that there is enough time after the drugs have cleared from the body to allow infections to occur and permit a build-up of immunity. The review refers to recent clinical trials on IPT in pregnant women and infants to discuss factors that could affect the outcome of the treatment. These include the intensity of malaria transmission, the choice of drugs, and the use of other prevention measures such as insecticide-treated nets.