Last year, for the first time, Europe had no indigenous cases of malaria, down from 90,000 cases in 1995.
"Forever after in India," Dube writes, "AIDS was thought of as a disease of women prostitutes merely because the first indigenous cases were detected among them.
Eleven of the 21 countries identified by the WHO as having the potential to reach zero indigenous cases in 2020 reported increases in malaria since 2015.
In 1986, Texas had nine more documented autochthonous cases, four of which were in Brownsville, and the city again had three indigenous cases in 2005.
In 2013, two countries - Azerbaijan and Sri Lanka - reported zero indigenous cases for the first time, and 11 others (Argentina, Armenia, Egypt, Georgia, Iraq, Kyrgyzstan, Morocco, Oman, Paraguay, Turkmenistan and Uzbekistan) succeeded in maintaining zero cases.
Still, she says the police need to do a better job investigating indigenous cases.
For Doris, the bottom line is that more effort needs to be put into solving Indigenous cases.
Indigenous cases are listed in Table 2.
Both imported and indigenous cases occurred more frequently in autumn.
Among them, 28 (22.8%) counties had imported cases, and 23 (18.7%) counties had indigenous cases.
Indigenous cases are defined according to the absence of evidence for the case being imported.
