Last Updated: 18/12/2024

Cross-border movement, economic development and malaria elimination in the Kingdom of Saudi Arabia

Objectives

The aim of this study is to review the impact of cross-border malaria in the last remaining territories of malaria risk in Saudi Arabia, using assembled contextual data on the potential for transmission (receptivity), local elimination strategies with an emphasis on cross-border control activities, and rates of locally acquired and imported malaria (vulnerability) in Jazan and Aseer between 2000 and 2017.

Rationale and Abstract

The Saudi Arabia–Yemen border is an area where people share a common ancestry, cultural heritage, and malaria ecology. The border divides two countries at very different stages of the pathway to malaria elimination and economic development. The border spans 1326 km from the Red Sea to the border triangle with Oman. The most densely populated area is toward the Red Sea, including Jazan and Aseer regions in Saudi Arabia, which share a 330 km land border with Yemen, and represent the last remaining foci of malaria transmission in Saudi Arabia. Conversely, malaria transmission in Yemeni Governorates that border Jazan and Aseer remains persistently endemic despite some progress toward control prior to 2014.

Study Design

Information was analyzed as a semi-quantitative time series to provide a plausibility framework to understand the possible contributions of factors related to control activities, conflict, economic development, migration, and climate.

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