"The most startling paper ... is an analysis by Oliver Sabot and colleagues from the Clinton Health Access Initiative in Boston, USA, who take a hard-headed look at the relative costs in four impoverished malaria-endemic countries of eliminating the mosquito-borne disease, versus controlling it. They found that there was a only a small probability (less than 10%) that elimination would be cost-saving over 50 years in three of those countries ... and a moderate chance in the other. ..."The other problem they found was that funding for malaria control at the moment is geared to bringing down the numbers of cases rapidly - good in itself, but not the way things have to go if elimination is the goal. ..."All this is not to say that elimination should no longer be contemplated. It's just more possible in some countries than in others. ..."