Malaria: From declaration to action, and intensifying dengue vector control
AbstractThe South-East Asia Region bears the second-highest global burden of malaria in terms of morbidity and mortality, and accounts for 58% of the global burden of Plasmodium vivax. Among the 15 countries that contributed 80% of the global estimated total malaria cases in 2016, India is the only country outside the African Region. However, the Region has made substantial progress in reducing malaria, with a 46% and 60% reduction in reported malaria cases and deaths between 2010 and 2016 respectively. Two Member States have been certified as malaria-free – Maldives and Sri Lanka – while three other Member States have been identified as having the potential to eliminate malaria by 2020. All Member States of the Region have committed to malaria elimination by 2030 at the latest. A high-level meeting of the 11 Member States of the Region was held in November 2017 in New Delhi, India, where the ministers of health of all Member States made a commitment towards a malaria-free South-East Asia Region by 2030 through signing of the Ministerial Declaration on Accelerating and Sustaining Malaria Elimination. In parallel, the Regional Action Plan 2017–2030 towards 0. Malaria-Free South-East Asia Region was launched along with a framework for a South Asia subregional cross-border collaboration network to eliminate malaria. Acceleration of malaria elimination in the South-East Asia Region will require the operationalization of the Ministerial Declaration. The attached working paper proposes seven key action points, including high-level monitoring of progress towards malaria elimination at country and regional levels. Dengue has emerged as a virulent and rapidly increasing vector-borne disease in the world. With 10 out of 11 Member States endemic, the WHO South-East Asia Region is among the highest burden regions for dengue. Of the 2.5 billion people around the world living in dengue endemic countries and at risk of contracting dengue fever, 1.3 billion live in dengue endemic areas in 10 countries of the WHO South-East Asia (SEA) Region. In spite of the control efforts, there is a significant increase in the number of dengue cases over the years though significant improvement has been made in case management and reduction of Case Fatality Rate to below 0.5%. However, integrated surveillance, early warning and response systems, and effective vector control needs to be strengthened in the Region. The attached working paper was presented to the High-Level Preparatory (HLP) Meeting for its review and recommendations. The HLP reviewed the paper and made the following recommendations for consideration by the Seventy-first Session of the Regional Committee: Actions by Member States Operationalize the Ministerial Declaration on Accelerating and Sustaining Malaria Elimination in the South-East Asia Region and intensify dengue vector control activities through the implementation of the proposed seven key action points. In addition, due attention should also be given to vector control for chikungunya and Zika virus disease. Draft a resolution on the elimination of malaria and the prevention and control of dengue, chikungunya and Zika virus disease for consideration at the Seventy-first Session of the Regional Committee for South-East Asia. Actions by WHO Support Member States in their efforts to achieve national and regional targets on malaria elimination and the control of dengue, chikungunya and Zika virus disease, with specific focus on improved clinical management and intensified vector control. Facilitate cross-border collaboration on the elimination and control of malaria, dengue, chikungunya and Zika virus disease in the Region. This working paper and the HLP Meeting recommendations are submitted to the Seventy-first Session of the WHO Regional Committee for South-East Asia for its consideration.
World Health Organization. Regional Office for South-East Asia. (2018). Malaria: From declaration to action, and intensifying dengue vector control. World Health Organization. Regional Office for South-East Asia. https://apps.who.int/iris/handle/10665/273938