Without a robust public health infrastructure, I'm guessing any effort to eliminate malaria from sub-Saharan Africa will fail badly. In the southern USA for ex

Without a robust public health infrastructure, I'm guessing any effort to eliminate malaria from sub-Saharan Africa will fail badly. In the southern USA for example, the mosquitos that carry malaria are fairly common, but malaria outbreaks haven't happened since 1950 - malarial cases in the USA are typically international traveller-borne and health care providers are required by law to immediately report all malaria cases to the CDC - where the return of endemic malaria to the USA is a constant concern: https://www.cdc.gov/malaria/about/activities.html https://www.cdc.gov/malaria/about/activities.html Incidentally this vaccine doesn't look very effective in terms of preventing malarial cases in the vast majority of susceptible people. Though it may reduce childhood mortality, alone it won't do much if anything to eliminate the disease. > " The vaccine reduced the risk of clinical malaria by 56 percent in children aged 5 to 17 months and by 31 percent in those aged 6 to 12 weeks - although as in previous trials, this protection declined after a year."