Abstract

Before eradication of malaria in the USSR, there was a steady transmission of vivax malaria in the Moscow Region. In the posteradication period, there were two insignificant cases of local transmission: in 1972 and 1982. However, since 1999, there has been a local transmission of malaria every year. The possible causes of the transmission are analyzed. This includes a change in favor of better climatic conditions for malaria transmission in 1948 to 2004. It is shown that a weather quality jump in about 1984, which appeared as the area's higher susceptibility. A great deal of anophelogenic water reservoirs open the way to a local transmission in summer months. The vulnerability of the area has increased with a larger number of migrants from the endemic areas of the former USSR. Thus, more cases of malaria import (increased vulnerability), possibilities of the carrier to multiply, better climatic conditions for transmitting malaria (increased susceptibility) have created conditions for worsening its situation in the Moscow Region.