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[Comment] Against the odds, Sri Lanka eliminates malaria

Sri Lanka’s achievement in eliminating malaria, certified by WHO on Sept 5, 2016, is an inspiring public health success story.1 With its population of about 22 million, this Indian Ocean island is the largest lower-middle-income country in the malaria-endemic tropics to achieve elimination.2,3 Income per person in Sri Lanka is still below the level at which countries typically succeed in eliminating malaria.2 More than 80% of Sri Lanka’s population live in rural areas, providing ideal ecosystems for Anopheles culicifacies, one of the main vectors for malaria in the region.