Good rains and hot, humid conditions have fuelled a surge in malaria cases in 2017, after 2016’s drought led to a low number of cases reported to the National Institutes for Communicable Diseases (NICD). There were 9,478 cases of malaria identified in SA during the year to March 31, an almost 50% increase on the 6,375 cases reported in 2016, the NICD announced last week. Just under half the recent cases (4,328) were caused by local transmission, as weather and a suboptimal household spraying programme in Limpopo combined to potentially deadly effect. In 2016, there were only 1,633 locally transmitted cases. In 2016-17 a total of 76 deaths were reported compared with 58 the year before. While these numbers pale in comparison with those of 2000, when SA had 64,500 cases and 460 deaths, malaria remained a serious public health threat as it could easily rebound if control programmes fell short, the NICD’s deputy director, Lucille Blumberg, warned. "You can’t ever let go of malaria," she...

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