China’s malaria elimination: One Health lessons for vector-borne disease governance

China's certification as malaria-free by the World Health Organization in 2021 marked the achievement of seven decades of adaptive surveillance, evolving strategies, and community engagement. <i>The British Medical Journal</i> series led by Qiyong Liu and colleagues provides comprehensive documentation of this process through regional case studies in Hainan Province, the Huai River Basin, and Yunnan Province, as well as national strategies and larval management priorities. This perspective interprets those findings within a One Health governance framework, emphasizing how China's success demonstrates the value of integrated surveillance, regional cooperation, ecological intervention, and technological innovation. Together, these four pillars outline a pathway for sustainable vector control governance and future prevention of vector-borne diseases in an era of ecological disruption and climate change.