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Socioeconomic and demographic effects of malaria eradication: A comparison of Sri Lanka and Sardinia

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  • Brown, Peter J.

Abstract

The relationship between disease control, population growth and economic development is examined through a comparison of changes subsequent to malaria eradication campaigns in Sri Lanka and Sardinia. Both islands were similar in terms of malaria morbidity and mortality rates as well as a history of massive malaria eradication campaigns using DDT immediately after the Second World War. The critical comparative distinction is that Sardinia had a much lower population density than Sri Lanka. In both cases, the anticipated effects of malaria control were increased agriculture production in endemic zones coupled with a relief of population pressure in non-malaria areas. This has not happened. Patterns of demographic change, marked by sharp declines in general mortality and accelerated population rates, are similar in both cases. Malaria control has resulted in economic development in neither case, however, and this is explained using ecological and political-economic analyses.

Suggested Citation

  • Brown, Peter J., 1986. "Socioeconomic and demographic effects of malaria eradication: A comparison of Sri Lanka and Sardinia," Social Science & Medicine, Elsevier, vol. 22(8), pages 847-859, January.
    • Handle: RePEc:eee:socmed:v:22:y:1986:i:8:p:847-859
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    Cited by:

    1. Randall M. Packard, 2009. "“Roll Back Malaria, Roll in Development”? Reassessing the Economic Burden of Malaria," Population and Development Review, The Population Council, Inc., vol. 35(1), pages 53-87, March.
    2. Chima, Reginald Ikechukwu & Goodman, Catherine A. & Mills, Anne, 2003. "The economic impact of malaria in Africa: a critical review of the evidence," Health Policy, Elsevier, vol. 63(1), pages 17-36, January.
    3. Elisa Sicuri & David B Evans & Fabrizio Tediosi, 2015. "Can Economic Analysis Contribute to Disease Elimination and Eradication? A Systematic Review," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-21, June.
    4. Rahini Mahendran & Sisira Pathirana & Ilangamage Thilini Sashika Piyatilake & Shyam Sanjeewa Nishantha Perera & Manuj Chrishantha Weerasinghe, 2020. "Assessment of environmental variability on malaria transmission in a malaria-endemic rural dry zone locality of Sri Lanka: The wavelet approach," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-15, February.
    5. Tom L. Drake & Yoel Lubell, 2017. "Malaria and Economic Evaluation Methods: Challenges and Opportunities," Applied Health Economics and Health Policy, Springer, vol. 15(3), pages 291-297, June.

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