Despite efforts to control malaria transmission, including the use of antimalarial drugs and long-lasting insecticidal nets (LLINs), Colombia has not seen a decreasing trend in malaria cases in recent years and remains a major public health problem, especially among indigenous populations living in remote areas with limited access to healthcare 13 , 14 .
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Time lag effect on malaria transmission dynamics in an Amazonian Colombian municipality and importance for early warning systems.
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Open areas exhibited constant expansion until 2017, followed by a temporary reduction, only to resume a positive trend in late 2019 (see Fig. 2 ).