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Department of Biological Sciences, University of Wisconsin-Parkside, Box 2000, Kenosha,

Wisconsin 53141, U.S.A.

ABSTRACT

Indigenous malaria, endemic in Bahrain for many decades, has been eliminated since 1980.Imported cases associated with expatriate labor, first reported in 1948, have reached a stableplateau of over 300 cases a year since 1977. This report critically examines the current practices of malaria control activities in Bahrain and puts forth, in light of the present maintenance phase, a set of recommendations for a more eflicient and cost-effective program. These recommendations deal with the application of integrated pest control management principles, mechanical and biological control, reduced residual spraying, selectivity of blood sampling to screen gametocyte carriers, and the establishment of a new Medical Zoology facility to conduct basic systematic, seasonal, distributional, and insecticide resistance studies.