TY - JOUR AU - Shanks, G. Dennis AU - Hay, Simon AU - Omumbo, Judy AU - Snow, Robert T1 - Malaria in Kenya's Western Highlands T2 - Emerging Infectious Disease journal PY - 2005 VL - 11 IS - 9 SP - 1425 SN - 1080-6059 AB - Records from tea estates in the Kericho district in Kenya show that malaria reemerged in the 1980s. Renewed epidemic activity coincided with the emergence of chloroquine-resistant Plasmodium falciparum malaria and may have been triggered by the failure of antimalarial drugs. Meteorologic changes, population movements, degradation of health services, and changes in Anopheles vector populations are possible contributing factors. The highland malaria epidemics of the 1940s were stopped largely by sporontocidal drugs, and combination chemotherapy has recently limited transmission. Antimalarial drugs can limit the pool of gametocytes available to infect mosquitoes during the brief transmission season. KW - Plasmodium falciparum KW - malaria KW - epidemiology KW - highland KW - drug resistance KW - Kenya. KW - historical review KW - Kenya DO - 10.3201/eid1109.041131 UR - https://wwwnc.cdc.gov/eid/article/11/9/04-1131_article ER - End of Reference