Abstract. Vivax malaria is a significant military and civilian health threat in northern Republic of Korea (ROK). Mosquito collections were performed at two ROK army installations, Paju near the demilitarized zone (DMZ) using black light traps in 2011. The DMZ, a 4 km wide border, is the northernmost point of the ROK and separates the ROK from the Democratic People's Republic of Korea (DPRK). Anopheles spp. were identified by polymerase chain reaction and screened for Plasmodium vivax sporozoites. Of 4,354 female Anopheles mosquitoes identified, Anopheles kleini (61.8%) was the most frequently collected, followed by Anopheles pullus (16.0%), Anopheles belenrae (9.0%), Anopheles sinensis (7.4%), Anopheles sineroides (4.2%), and Anopheles lesteri (1.6%). Anopheles kleini, An. pullus, and An. sineroides showed the highest population densities in June, whereas population densities were highest for An. belenrae, An. lesteri, and An. sinensis in August. The maximum likelihood estimation (estimated number of positive mosquitoes/1,000) for P. vivax was highest for An. lesteri (28.9), followed by An. sineroides (23.3), An. belenrae (15.8), An. sinensis (9.6), An. pullus (5.8) and An. kleini (4.2). The seasonal maximum likelihood estimation (MLE) values were variable among Anopheles species. Anopheles belenrae, An. Pullus, and An. sineroides showed the highest seasonal MLE's in July, whereas An. lesteri and An. sinensis exhibited the highest seasonal MLEs in September and An. kleini during August. This is the first report implicating An. sineroides as a vector of P. vivax in the ROK, and extends our knowledge of the distribution and potential role in malaria transmission.In the Republic of Korea (ROK, South Korea), Plasmodium vivax malaria has been endemic for centuries.1,2 In the 1960s and 1970s, active and passive vivax malaria case detection and vector control, which included extensive use of pesticides, were combined in an ambitious eradication project by the ROK government.1 In the mid-1970s, indigenous transmission cases of malaria were greatly reduced and in 1979, the World Health Organization (WHO) declared the ROK as a malariafree zone.3,4 Plasmodium vivax malaria reemerged when two cases were reported in northwestern Gyeonggi Province near the demilitarized zone (DMZ) in 1993.5 Plasmodium vivax malaria rapidly increased to a high of 4,142 cases by 2000, before declining to 864 cases by 2004.2,6-11 Malaria steadily increased to 2,227 cases by 2007, but decreased to 811 by 2011.
11Although Anopheles spp. populations are high throughout the ROK, the primary malaria threat has remained in northern Gyeonggi Province near the DMZ where transmission rates are high. [12][13][14] Reasons for the concentration of malaria along the DMZ are not well understood, although WHO reported that a malaria epidemic occurred in the Democratic People's Republic of Korea (DPRK, North Korea) shortly after the first case of malaria was reported in 1993 near the DMZ in the ROK, suggesting a parallel outbreak occurred in both countries. 15...