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National Policy of Malaria Control Programme in Thailand

National Policy of Malaria Control Programme in Thailand. Bureau of Vector Borne Disease, Department of Disease Control, Ministry of Public Health, Thailand. Organization Chart and Reporting System of Malaria and Vector-Borne Disease Control in Thailand. Department of Disease Control.

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National Policy of Malaria Control Programme in Thailand

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  1. National Policy ofMalaria Control Programmein Thailand Bureau of Vector Borne Disease,Department of Disease Control, Ministry of Public Health, Thailand.

  2. Organization Chart and Reporting System of Malaria and Vector-Borne Disease Control in Thailand Department of Disease Control Central level Bureau of Epidemiology • - Office of the Secretary • Finance Division • Personnel Division • Planning Division • Bureau of General • Communicable Diseases • Bureau of AIDS, TB and • STIs • Bureau of Occupational • and Environment Disease • Bureau of Non- • Communicable Disease • Rajprachasamasai • Institute • - Bamrasnaradura Institute Bureau of Vector-Borne Diseases Provincial level GF 7 Office of Disease Prevention and Control (ODPC: 1-12) Provincial Health office (75) - Regional Hospital - General Hospital Vector-borne Disease Control Center (VBDC: 39) District Health office - CommunityHospital Vector-borne Disease Control Unit (VBDU: 302) Health Center (Canton level) Malaria Post: GF (Village level) Malaria Clinic (MC : 536) Line of Command Malaria Volunteer (28,958) Line of Reporting System Line of Technical supervision and coordination

  3. Thai and Non-Thai malaria cases reportedFiscal Year 2000-2010 Fiscal Year Bureau of Vector-borne Diseases, Department of Disease Control, Ministry of Public Health.

  4. Reported Malaria Cases and Deaths 2000-2009, Thailand

  5. N LAO PDR Map showing Top Ten Provinces of Thailand with highest malaria cases, FY2010 4 1 MYANMAR 8 1.Tak 6,844 2.Yala 2,917 3.Chumporn 1,871 4.Mae Hong Son 1,511 5.Kanchanaburi 1,385 6.Ranong 984 7.Prachuap Khiri Khan 963 8.Srisaket 848 9.Phangha 832 10.Narathiwat 745 8 7 5 CAMBODIA 7 3 6 9 9 9 2 10 MALAYSIA

  6. Monthly malaria cases reported, FY 2008-2010 Malaria cases Month Source: Bureau of Vector Borne Disease, Department of Disease Control, MoPH

  7. Annual Parasite Incidence, 1965-2010 0.39

  8. Malaria Mortality Rate, Thailand, 1949-2009. MR per 100,000 Year 0.11 Malaria Cluster, Department of Disease Control, MoPH

  9. Maps showing annual parasite incidence rate (per 1,000 pop.) and malaria mortality rate (per 100,000 pop.), 2010 Malaria Mortality per 100,000 population Annual Parasite Incidence per 1,000 population LAOS Myanmar Cambodia Cambodia Malaysia

  10. Annual Parasite Incidence (API), Annual Blood Slide Examination Rate (ABER) and Slide Positive Rate (SPR), 1965-2010 API / 1,000 pop. ABER & SPR / 100 pop. Year

  11. Proportion of Thai cases by border sites, Thailand, Fiscal Year 2010 Thai-Myanmar(68%) Thai-Malaysia(19%) Thai-Lao PDR(2%) Thai-Cambodia(11%) Source: Malaria Cluster, Department of Disease Control, MoPH

  12. Proportion of foreign nationals cases by border sites, Thailand, Fiscal Year 2010 Thai-Myanmar(95.92%) Thai-Malaysia(0.58%) Thai-Lao PDR(0.04%) Thai-Cambodia(3.46%) Source: Malaria Cluster, Department of Disease Control, MoPH

  13. Number of Thai and Non-Thai cases by border site Fiscal Year 2010 No. of cases

  14. National Drug Policy for falciparum malaria, January 2008 onward Age 1st Day 2nd Day 3rd Day (year) ATS (tab) M (tab) ATS (tab) M (tab) ATS (tab) P (mg.) 14+ 4 3 4 2 4 30 8 -13 3 2 3 1 ½ 2 15 3-7 2 1 ½ 2 1 2 10 1-2 1 3/4 1 ½ 1 5 6-11m 1 1/2 1 1/3 - - Refer children <6 m and pregnancy women to hospital ATS = Artesunate 50 mg, M = Mefloquine 250 mg

  15. National Drug Policy for vivax or ovale malaria, Age (year) 1st Day 2nd Day 3rd Day Day 4-14 1st C (tab) 2nd C (tab) 3rd C + P (tab) (mg) Once a day C + P (tab) (mg) Once a day C + P (tab) (mg) Once a day P (mg) 14+ 2 2 2 15 2 15 2 15 15 8-13 2 2 0 10 1 10 1 10 10 3-7 1 1 1 5 1 5 1 5 5 1-2 1 1 0 2 ½ 1 2 ½ 1 2 ½ 2 ½ 6-11 m 1 0 0 0 ½ 0 ½ 0 0 < 6 m ½ 0 0 0 ½ 0 ½ 0 0 Pregnant 2 2 2 0 2 0 2 0 0 C = Chloroquine phosphate 250 mg, P = Primaquine 5 mg and 15 mg.

  16. Nine Provinces as Sentinel sites for monitoring of drug resistance 1 • Mae Hong Son • Tak • Kanchanaburi • Ratchaburi • Ranong • Ubon Ratchathania • Chanthaburi • Trat • Yala 2 6 3 4 7 8 5 9

  17. Proportion of malaria parasite speciesin relation to the National drug policy, Thailand, FY 1965-20010 Percentage M MSP CHL QT M SP2 SP3 M+ATS Fiscal Year

  18. THANK YOU FOR YOUR ATTENTION

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