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The Status of Malaria in South Africa

The Status of Malaria in South Africa. DEVANAND MOONASAR. INTRODUCTION. Malaria – Disease - Plasmodium falciparum . Transmission – Female Anopheles mosquito. Vectors Anopheles, arabiensis, gambiae and funestus. Areas low altitude

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The Status of Malaria in South Africa

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  1. The Status of Malaria in South Africa DEVANAND MOONASAR

  2. INTRODUCTION Malaria – Disease -Plasmodium falciparum. Transmission – Female Anopheles mosquito. Vectors Anopheles, arabiensis,gambiae and funestus. Areas low altitude malaria season October to May

  3. Malaria in South Africa- • National Department of Health - Policy • Malaria Advisory Group. • Vector Sub committee • Sub - committee for Chemoprophylaxis and Treatment. • KZN - Department of Health • NP - Department of Health • Mp - Department of Health.

  4. Risk Areas • Low altitude areas of • Northern province • Mpumalanga • North Eastern Parts of KZN. • Northern Cape (rare)

  5. No. of cases • Last decade : Year No. of cases Deaths 1990 6822 35 1991 4693 19 1992 2872 14 1993 13285 45 1994 10289 12 1995 8750 44 1996 27035 163 1997 23121 104 1998 26445 198 1999 ` 51535 402 2000 61934 423 2001 20345 69

  6. MALARIA RISK MAP FOR SOUTH AFRICA

  7. DOH malaria control policy • Vector Control mainstay IRS. • Case management. -Early Diagnosis + Rx • Community Mobilisation. • Epidemic Surveillance

  8. Vector control • IRS - • Pyrethroids • Carbamate • DDT. • Larviciding: • Temaphos, oils etc • ITNS- Insecticide Treated nets

  9. Disease management • Diagnosis: - Rapid Kits - Microscopy • Treatment: - SP- Fansidar - Coartem (Coartmether + lumefantrene) - Quinine • Training: • Healthcare staff in districts

  10. Community mobilization • Messages on malaria b4 the malaria season • Radio • Newspaper • School plays • KAP - IMCI • Training/ informing Traditional healers

  11. Inter-country Collaboration • LSDI - Lumbombo Spatial Development Initiative • SAMC - Southern African Malaria Control • SADC Malaria control policy.

  12. Malaria advocacy • Government commitment • Malaria week - Nov 5-9/01 • RBM Launch • LSDI Launch • .

  13. Achievements • Decreased malaria 2000/01 by more 35%. • Re- introduced DDT • Reviewed and implemented drug policy. • Scaled up infrastructure • Inter-country collaborations. • SAMC - malaria Award

  14. Priorities for coming year. • Increasing National Capacity for MCP. • Scale up ITN coverage. • Launch RBM • Launch LSDI • Implement new drug policy in NP,MP.

  15. Malaria Control Partners • South African Medical Research Council. • South African Institute for Medical Research • University of Cape Town • World Health Organization (WHO) • NP, MP and KZN Provincial Departments of Health. • www.malaria.org.za moonad@health.gov.za

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