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WHO Technical updates of malaria (pre-)elimination tools

WHO Technical updates of malaria (pre-)elimination tools. 1 st Malaria Forum, Rwanda 26-28 September 2012. Aafje Rietveld, MD, MSC, MPH Medical Officer, Global Malaria Programme.

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WHO Technical updates of malaria (pre-)elimination tools

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  1. WHO Technical updates of malaria (pre-)elimination tools 1st Malaria Forum, Rwanda 26-28 September 2012 Aafje Rietveld, MD, MSC, MPH Medical Officer, Global Malaria Programme

  2. Current classification of 193 countries and 2 territories by the malaria programme that is implemented in the worst affected part of the country

  3. Malaria Elimination: 2011

  4. Epidemiological and programmatic criteria

  5. Elimination in land-locked countries Turkmenistan (2010) and Armenia (2011) certified malaria-free

  6. Elimination in Morocco Malaria has been eliminated in Morocco Monitoring & surveillance remain high priority Total cases (log scale) Map of entomological surveillance sites in Morocco today 100,000 10,000 1,000 100 10 Permanent breeding sites for entomological surveillance Local cases Total cases 0 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010

  7. Elimination in Iraq Last local cases in 2008 Cases of vivax malaria - Iraq 1990-2008 Local cases in Iraq, 2005-2008 Total cases Local cases 98,222 100,000 50 Imported cases 3 Local cases  40 49,836 40,000 30 1 20 20,000 9,684 10 1,860 44 2 0 1 1 4 Sulaimania was the last region with malaria in Iraq 7 0 2 2 0 1990 1995 2000 2005 2010 2005 2006 2007 2008 2009 2010

  8. Thinking of recent successes …….

  9. Elimination • Every case (infection) counts • Every case needs to be investigated and classified You get to know each individual patient quite well • Geographical focus = unit of intervention Be curious and bring good walking shoes Progressing towards the quality and standards of health care that are needed for malaria elimination brings tremendous public health benefits

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