Controlling Malaria Epidemics in Sudan

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Controlling Malaria Epidemics in Sudan

• Mr. Salaheldin Mubark
• RBM, Khartoum, Sudan

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Epidemics prone areas in Sudan
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Areas with history of epidemics in Sudan
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Factors leading to malaria epidemics

• Unrest leading to internally displaced population
  (Khartoum)
• Refugees influx (Kassala and Gedarif)
• Natural disaster (Red Sea, North)
• Abnormal whether conditions (N. kordofan)
• Developmental projects (River Nile)
• Vector resistance to insecticides (Khart, Gezera,
  Sinnar)
• Parasite resistant (Gezera, Kassala, Khartoum)
• Interruption of control activities (Gezera)

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Challenges

• Sentinel sites not always in epidemic-prone areas
• Historic data not in useful format
• No links with related sectors
• No attempt to analysis at local level
• Buffer stock not adequate
• Contingency plan not yet operational

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Objectives

• General
• To detect and adequately respond to malaria
  epidemic within two weeks of the onset
• Specific
• To improve the disease surveillance system for
  timely prediction of epidemic in all epidemic
  prone areas
• To establish adequate buffer stock in all
  epidemic prone areas
• To establish an effective system to forecast,
  respond and contain epidemic

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Approaches

• Establishing of epidemic thresholds for each area
• Strengthening of sentinel sites system
• Improve use of available information on epidemic
  risk factor for forecasting
• Establishing buffer stock system
• Epidemic preparedness plan
• Operational research

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Achievements

• Epidemic prone areas at state level broadly known
• Integrated disease surveillance system is there
• Sentinel sites in 12 states established
• Draft contingency plan for epidemic
• Trials to develop buffer stock last years
• Disaster committee exist at national and at
  states
• Threshold in some states was established

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