Mekong delta area in Vietnam

=> no local malaria case by 2020 - 14 provinces, 30 milion pop. - most malaria case are imported case - P. f (60%), and P.v - An. epiroticus (insecticed resistance in coach pro) => no local malaria case by 2020

TT Tỉnh BNSR AT TV KST 2012 2011 1 Lâm Đồng 176 183 166 175 2 Đồng Nai 136 207 93 138 3 Bình Dương 76 98 8 4 75 79 Bình Phước 1.596 1.829 16 14 1.512 1.619 5 Tây Ninh 30 62 28 59 6 BR-VT 129 118 11 9 7 TP. HCM 58 35 55 32 Long An 17 Tiền Giang 10 An Giang Bến Tre 21 18 20 12 Kiên Giang 13 Đồng Tháp 42 29 Vĩnh Long 15 Trà Vinh 39 49 Cần Thơ Hậu Giang Sóc Trăng 66 180 19 Bạc Liêu 50 74 45 57 Cà Mau 125 172 Tổng cộng 2.599 3.107 33 2.169 2.323

1. The existing mal surveillance in the area Case definitions: Microcopic exammination / RDTs (PCD, ACD) Clinical diagnosis. Method for confirmation and theire QA: 100% positive slides and 10% negative one were checked at higher level.

1. The existing mal surveillance in the area Personel responsible for case detection, involvement of other entities than pulic health services: Village health worker/commune, Microcopic point Military, private sector, farms… Laboratory methods: Microcopic exammination / RDTs

1. The existing malaria surveillance… Methods of reporting: Monthly/quarter/6 months/annual routin reports (week reports?) Case report immediatly (for every confirmed malaria case) Reports and feed – back produced by central level Unusual (mainly in 6 months or annual mittings; Case report immediatly) Coverage: Whole area

2. Identify the changes required for the surveillance system to be adequate for elimination Prioritize these changes: Microcopic points QA (technical staff) + RDTs VHWs Set up an immediately report for every confirmed case (simply 100% confirmation). Case investigation and classification, identify foci Foci investigation and delimitation, classification

Guidline on vectorial control method according to forcus class. 2. Identify the changes required for the surveillance system to be adequate for elimination Prioritize these changes: Guidline on vectorial control method according to forcus class. Legislation of private sector on compulsory reporting Over the counter sale of antimalaious drugs should be stopped, but access to antimalaria in other provinces to analyse (highland, …).

3. Draft national guidelines for malaria surveillance, including the above features: Microcopic points QA (technical staff) + RDTs: Training and retraining, supervision of MPs in QA Functional defination for microcopic points. Coverage RDTs in remote where the microcopic point not reach. Take slide simultaneously with RDT and send to MP for examination. The MPs must feed – back to communities in 24 h (tel, others) and take an immediately report for every confirmed case. Guidline quality control of all laboratory services that diagnose malaria.

3. Draft national guidelines for malaria surveillance, including the above features: VHWs: Training and retraining (malaria elimination measurements) Functional defination for VHWs: take examination every mobile population when they comeback from endemic area and people have malaria symptoms. Adequate and prompt treatment every positive case.

3. Draft national guidelines for malaria surveillance, including the above features: Case investigation and classification, identify foci: Establish a mobile team (province and district) to do epidemiological investigation of every confirmed case and classification, identify foci. Set up national malaria case register. Training and quality control for all public and private clinical services that diagnose and/or treat malaria.

3. Draft national guidelines for malaria surveillance, including the above features: Guidline on VC method according to forcus class: Guidline on IRS in timely in foci Mornitor VC in routine and suddently in necessary case Legislation of private sector on compulsory reporting: Make a form report with in detail of WWW… they have to report Assignment on supervision of private sector’s report

3. Draft national guidelines for malaria surveillance, including the above features: Over the counter sale of antimalaious drugs should be stopped, but access to antimalaria in other provinces to analyse (highland, …): MOH issue official regulations on sale antimalaria drugs (in detail for every different area) Assignment on supervision of OTC.