reorienting towards malaria e limination in Sri Lanka. Dr. Rabindra - - PowerPoint PPT Presentation

03/05/2010 Anti Malaria Campaign Directorate

03/05/2010 Anti Malaria Campaign Directorate 1

Malaria Control and reorienting towards malaria elimination in Sri Lanka.

• Dr. Rabindra R. Abeyasinghe

[ MD (Community Medicine), MSc (Biology & Control of Disease Vectors) , DTM&H (London)]

Project Director GFATM/ Consultant Community Physician, AMC.

Year

• No. of Blood

smears examined and RDT tests

• No. of positive

cases P.v. P.f.

1999 1582111 264549 200671 63878 2000 1781372 210039 150389 59650 2001 1353386 66522 55922 10600 2002 1387953 41411 36535 4876 2003 1192259 10510 9237 1273 2004 1198181 3720 3171 549 2005 973861 1640 1506 134 2006 1076121 591 564 27 2007 1021911 196 189 7 2008 1047104 670 623 46

03/05/2010 Anti Malaria Campaign Directorate

Malaria control

 Objective

 Reduce the disease burden as much as

possible in a cost effective manner utilizing available resources.

 Result

 Reduction of disease burden over a ten

year period, since 1998 with over a 50% saving on supplies.

03/05/2010 Anti Malaria Campaign Directorate

Malaria elimination

 An intensified time limited programme

aiming at interrupting and preventing the further transmission of malaria in a country by the end of a defined period and maintaining the malaria free status

 Target – Elimination by year 2015

03/05/2010 Anti Malaria Campaign Directorate

• 10

10 30 50 70 90 110 130 150 Colombo Gampaha Kalutara Kandy Matale N'Eliya Galle Matara Hambantota Jaffna Kilinochchi Vavuniya Mannar Mullativu Batticaloa Ampara Kalmune Trincomalie Kurunegala Maho Puttalam Anuradhapura Polonnaruwa Badulla Moneragala Ratnapura Kegalle

District-wise distribution of microscopically confirmed malaria patients in Sri Lanka – 2008.

Trends in Malaria 1998 - 2007

264549 210039 66522 41411 10510 3720 1640 591 196 670

50 30050 60050 90050 120050 150050 180050 210050 240050 270050 300050 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

Microscopically confirmed malaria cases

Trend in Malaria 1999 - 2008

50000 100000 150000 200000 250000 300000 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

03/05/2010 Anti Malaria Campaign Directorate

Mortality due to malaria in Sri Lanka

 Reported mortality

 Year 2000

76

 Year 2001

58

 Year 2002

30

 Year 2003

04

 Year 2004

01

 Year 2005

00

 Year 2006

00

 Year 2007

01

 Year 2008

00

03/05/2010 Anti Malaria Campaign Directorate

Areas for malaria elimination

Jaffna Kilinochchi Mullativu MannarVavuniya Puttalam Anuradhapura Trincomalie Polonnaruwa Batticaloa Kurunegala Matale Kandy Gampaha Kegalle Badulla Ampara Moneragala Hambantota Matara Galle Kalutara Colombo Ratnapura N’Eliya Conflict affected districts Transition districts Non-conflict districts Kalmune

03/05/2010 Anti Malaria Campaign Directorate

Objectives of the Anti Malaria Campaign

 To eliminate indigenous P. falciparum malaria

by the year 2012 in non-conflict & transitional areas of the country.

 To eliminate indigenous P. vivax malaria by

the year 2012 in 75% of non-conflict & transitional areas of the country

 To reduce API in conflict affected areas to

75% of the API reported in 2007, by the year 2012.

 To maintain zero mortality from malaria in Sri

Lanka

03/05/2010 Anti Malaria Campaign Directorate

Methodology

 Strengthen surveillance  Radical cure of all patients/carriers  Enhanced vector control  Prevention of introduction  Increased awareness

03/05/2010 Anti Malaria Campaign Directorate

Strengthening the surveillance system

 Increasing and improving the capacity of the

system to detect early new cases of malaria

 Ensuring radical cure of all cases and to

prevent secondary cases

 Detecting early increases in vector densities

and changes in vector bionomics that could contribute to malaria

 Improving programme management and

enhancing cost effectiveness

03/05/2010 Anti Malaria Campaign Directorate

Thank you.

.