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Malaria Successes and Challenges in Asia. Dr Rajesh Bhatia Director Communicable Diseases WHO Regional office for South-East Asia New Delhi -110002, India. Asia* may not be major contributor to global malaria but indeed plays a critical role……. Estimated Malaria Cases.
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Malaria Successes and Challenges in Asia Dr Rajesh BhatiaDirector Communicable DiseasesWHO Regional office for South-East AsiaNew Delhi -110002, India
Asia* may not be major contributor to global malaria but indeed plays a critical role…….. Estimated Malaria Cases Estimated Malaria Deaths Source: World Malaria Report, 2011 *19 Asian countries: 10 in WHO SEAR, 7 Asian countries in WHO WPR, and 2 in WHO EMR.
Huge diversity in Asian malaria endemic countries 19 endemic countries in Asia Sri Lanka, Malaysia and RoK are in national elimination phase Thailand, Indonesia and Philippines are in sub-national elimination phase Bhutan and DPRK are in pre-elimination phase
Malaria disease burden in Asia, 2010 * * :Data for Pakistan not available Source: World Malaria Report, 2011
Reduction in estimated malaria morbidity and mortality has been observed in Asia… Source: World Malaria Report, 2011
Challenge is to ensure that ALL 19countries achieve 75% target by 2015
Good progress in availability of medicines and commodities…. but huge scaling up needed Medicines Diagnostics Insecticides treated nets
Malaria funding has increased in past decade…. Source: World Malaria Report, 2011
Reaching unreached populations is difficult challenge • WHO: • Migrants, ethnic, forest workers, • WHERE: • Difficult areas, forests • WHY: • Critical for malaria elimination • HOW: • Strengthen commitment, programme and health system • Involve communities
Eastern Shan Phuoc Long Artemisinin resistance in Asia is a global threat from 2010 report Latest data
Conclusions • Asia has 15% global malaria burden but • Drug resistant malaria in Asia is a potential threat to global health security • Vivax malaria is a serious threat that cannot be neglected • Asia can also support global malaria efforts • Asia has a vibrant pharmaceutical and commodity industry and • Most of WHO prequalified manufacturers are in Asia • WHO has • Globally accepted strategies and plans (GMAP and G-PARC), strong presence in and close collaborative relationship with all Asian countries • With available strategies, development of new improved tools and innovative delivery mechanisms, knowledge and commitment, it should be possible to achieve targets • Working together, we can achieve it.
Thank you very much Acknowledgements: Colleagues from WHO SEARO and WPRO