The Status of Malaria in South Africa

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Presentation transcript:

The Status of Malaria in South Africa DEVANAND MOONASAR

INTRODUCTION Malaria – Disease -Plasmodium falciparum. Transmission – Female Anopheles mosquito. Vectors Anopheles, arabiensis, gambiae and funestus. Areas low altitude malaria season October to May

Malaria in South Africa- National Department of Health - Policy Malaria Advisory Group. Vector Sub committee Sub - committee for Chemoprophylaxis and Treatment. KZN - Department of Health NP - Department of Health Mp - Department of Health.

Risk Areas Low altitude areas of Northern province Mpumalanga North Eastern Parts of KZN. Northern Cape (rare)

No. of cases Last decade : Year No. of cases Deaths 1990 6822 35 1990 6822 35 1991 4693 19 1992 2872 14 1993 13285 45 1994 10289 12 1995 8750 44 1996 27035 163 1997 23121 104 1998 26445 198 1999 ` 51535 402 2000 61934 423 2001 20345 69

MALARIA RISK MAP FOR SOUTH AFRICA

DOH malaria control policy Vector Control mainstay IRS. Case management. -Early Diagnosis + Rx Community Mobilisation. Epidemic Surveillance

Vector control IRS - Larviciding: ITNS- Insecticide Treated nets Pyrethroids Carbamate DDT. Larviciding: Temaphos, oils etc ITNS- Insecticide Treated nets

Disease management Diagnosis: - Rapid Kits - Microscopy Treatment: - SP- Fansidar - Coartem (Coartmether + lumefantrene) - Quinine Training: Healthcare staff in districts

Community mobilization Messages on malaria b4 the malaria season Radio Newspaper School plays KAP - IMCI Training/ informing Traditional healers

Inter-country Collaboration LSDI - Lumbombo Spatial Development Initiative SAMC - Southern African Malaria Control SADC Malaria control policy.

Malaria advocacy Government commitment Malaria week - Nov 5-9/01 RBM Launch LSDI Launch .

Achievements Decreased malaria 2000/01 by more 35%. Re- introduced DDT Reviewed and implemented drug policy. Scaled up infrastructure Inter-country collaborations. SAMC - malaria Award

Priorities for coming year. Increasing National Capacity for MCP. Scale up ITN coverage. Launch RBM Launch LSDI Implement new drug policy in NP,MP.

Malaria Control Partners South African Medical Research Council. South African Institute for Medical Research University of Cape Town World Health Organization (WHO) NP, MP and KZN Provincial Departments of Health. www.malaria.org.za moonad@health.gov.za