World Malaria Report

1
World Malaria Report

• Highlights from countries of the Eastern
  Mediterranean Region

2
Malaria burden in EMR

• 50 of EMR population live in areas at risk
• 15 million estimated clinical cases per year
• 59,000 estimated deaths due to malaria per year
• 90 cases occur in only 4 countries
• Afghanistan, Yemen, Sudan, Somalia

3

• Malaria burden in EMR in 90s increased compared
  to 80s
• Re-establishment of stable transmission (AFG)
• Frequent epidemics ( Iraq ,Somalia, Yemen, Sudan)
• Breakdown of malaria control programme
• War and civil conflicts
• Resistance of the parasite to CQ
• Resistance of the mosquitoes to insecticides

4

• Change of malaria burden since 2000
• (RBM implementation)
• From the available data, it is difficult to
  determine how much the Regional burden of malaria
  has changed, as HIS in high-burden countries is
  weak
• However, Success Stories are presented for some
  countries/ areas, showing that successful
  control has had an impact on malaria disease
  burden

5
Achievements in high burden countries-1

• Yemen
• Strengthened malaria case management, vector
  control, surveillance with active community
  participation
• Targeted malaria elimination in Socotra Island
  and intensified control in Tihama area

6
Success story in Scotora Island
Reported slide-confirmed malaria cases and
slide-positivity rates from Socotra Island,
Yemen, 20002003
7
Achievements in high burden countries-2

• Sudan
• Khartoum and Gezira States Malaria Free
  Initiative

8
Achievements in low burden countries
Achievements in low burden countries
76
83
4
129
1
Progress made
14 MEC
9 MEC 2 of them ready for elimination SAA, IRAQ
9
(No Transcript)
10
RBM inception
11
Malaria free Arabian Peninsulaway forward
RBM/EMRO is currently working to establish a
strong partnership with GCC countries and other
partners for sustained support to the programme
in Yemen
12
Malaria free countries are implementing
strategies to prevent reintroduction of malaria
UAE is implementing activities to be certified
as malaria free country
13
We have New technologies for Malaria control
14
All malaria endemic countries in EMR developed
strategies to scale up the use of ITNs
15
WHO recommendations on use of ACT for treatment

• CQ failure has been documented in all EMR
  countries with local PF transmission
• Of these 8 countries, 3 countries adopted ACT, 3
  more are in the process of policy change

16

• Development of new tools
• The development of an effective antimalarial
  vaccine has proved more complex and more
  expensive than expected
• The Malaria Vaccine Initiative supports 10
  vaccine projects globally
• Medicines for Malaria Venture is coordinating the
  development of new drugs .
• US 200 million is required to develop one new
  fixed-dose ACT

17
We have New technologies for Malaria prevention
and control
BUT

• We need more funds