Table 2.

Summary points of consensus

Malaria elimination in the Peruvian Amazon is a feasible and important goal, but will require:
1. A comprehensive regional strategic plan and integrative control measures that are culturally and contextually appropriate as well as politically and financially sustainable.
2. Study sites for new control measures should have large populations, low transmission, and be accessible but resistant to contamination of effect.
3. Evaluation of four types of indicators: morbidity/mortality, surveillance/monitoring, entomological, and process indicators.
4. That rapid diagnostic tests (RDTs) be introduced for active case detection, ideally with local production at some point, and that microscopy should be maintained while its quality is improved.
5. Interventions that prioritize active detection with RDTs and treatment with artemisinin-based combination therapy with primaquine over bed nets and spraying, which have limited effectiveness in this setting, while establishing a continual supply chain for tests and antimalarial drugs.
6. Research to address knowledge gaps in vector behavior, insecticide resistance, the social determinants of malaria, and cultural perspectives toward particular interventions, while working to develop and implement novel assays for detection and therapeutics.
7. Integration of the program into the existing health system, a communication platform between stakeholder groups, and intersectoral collaboration between stakeholders and officials at all levels of government.