LAOS NSP Goals, Objectives and Planning for Surveillance 15 August 2015 Malaria Elimination Training at Chiang Mai Dr. Bouasy, Dr. Viengxay and Dr. Odai CMPE Team

Outline of Presentation A.NSP Goals B.NSP Objectives C.Roadmap to malaria elimination in Laos D.Proposed Timelines for Malaria Elimination in Lao PDR E.Provinces selected for Surveillance Planning Exercise

NSP Goals  Phase 1 ( ): The overall goal of the phase 1 of NSPMCE is to flatten the malaria epidemic and reduce the impact of multi-drug resistance in the southern part and move progressively towards malaria elimination in the northern and central part of the country while aligning with the GMS regional elimination efforts.  Phase 2 ( ): The phase 2 goal of the NSPMCE is to eliminate Plasmodium falciparum malaria in the entire country along with the entire GMS region and to eliminate all species of malaria in the northern/central provinces.  Phase 3 ( ): The phase 3 goal of the NSPMCE is to eliminate all forms of malaria by 2030 in the entire country.

NSP Objectives Phase 1Phase 2Phase 3 1. Reduce the incidence of Plasmodium falciparum to less than 5 per 1,000 in the southern Laos by Interrupt the transmission of Plasmodium falciparum in the northern and central Laos by Reduce the incidence of indigenous cases of Plasmodium vivax to <1 per 1,000 in the northern and central Laos by Prevent reintroduction of malaria transmission in areas where it has been interrupted. 1. Interrupt the transmission of Plasmodium falciparum in the entire country by Interrupt the transmission of Plasmodium vivax in the northern and central Laos by Prevent reintroduction of malaria transmission in areas where it has been interrupted. 1. Interrupt the transmission of all forms of malaria in the entire country by Prevent reintroduction of malaria transmission in areas where it has been interrupted. 3. Apply for certification of malaria free status by 2030.

Roadmap to malaria elimination in Laos

PROPOSED TIMELINES FOR MALARIA ELIMINATION IN LAO PDR ( ) : Elimination of Pf in all northern/central provinces except Phongsaly and reduction of API to <10/1,000 in the southern provinces 2020: Elimination of Pf in all northern/central provinces and reduction of API to <5/1,000 in the southern provinces 2025: Elimination of Pf from entire country including southern provinces and elimination of Pv in northern/central provinces 2030: Elimination of Pv from the entire country

CHINA MYANMAR THAILAND VIETNAM THAILAND CAMBODIA VIETNAM PROVINCES SELECTED FOR SURVEILLANCE EXERCISE Towards elimination by 2020 Towards pre-elimination by 2020 We selected 4 provinces to be representative of country’s 18 provinces in different phases of malaria control - elimination continuum ( 2 currently in control and 2 in pre-elimination)

Khop jai lai lai! Thank you very much!