Malaria in temperate regions
Few people are aware that it is less than f
orty years since the final eradication of malaria in Europe and the United States. Indeed, the disease was common in the period from the 16th to 18th centuries that climatologists term the Little Ice Age [33], and data from burial records around the Thames estuary reveal that mortality in "marsh parishes" of England was comparable to that in areas of transmission in sub-Saharan Africa today [40,41].
orty years since the final eradication of malaria in Europe and the United States. Indeed, the disease was common in the period from the 16th to 18th centuries that climatologists term the Little Ice Age [33], and data from burial records around the Thames estuary reveal that mortality in "marsh parishes" of England was comparable to that in areas of transmission in sub-Saharan Africa today [40,41].Until the mid-19th century, the northern limit of transmission was roughly defined by the present 15°C July isotherm. Denmark and parts of Sweden suffered devastating epidemics until the 1860s. Incidence diminished thereafter and the disease had essentially disappeared around the turn of the 20th Century. The same was true in Finland, except for a brief recrudescence in 1941, during the Russo-Finnish war. Figure 1 shows the distribution of malaria cases in Norway between 1860 and 1920. In England, there was a gradual decrease in transmission until the 1880s, after which it dropped precipitously and became relatively rare, except in a short period following World War I. In Germany, transmission also diminished rapidly. After World War I it was mainly confined to a few marshy localities [36].
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