News > More than 300 thousand suspected malaria cases investigated in Zahedan University of Medical Sciences in 2018, with less than 5% local transmission cases
Report from: ZAUMS Communicable Diseases Control Department
Published on: 10 April 2019
Malaria is a life-threatening disease caused by the Plasmodium parasites, which is spread to people through the bite of an infected female Anopheles mosquito. According to WHO, about half of the worlds" population is at risk of malaria, particularly those in developing countries. The disease infected more than 219 million people in 2017. Although there were an estimated 20 million fewer malaria cases in 2017 than in 2010, data for the period 2015–2017 highlight that no significant progress in reducing global malaria cases was made in this timeframe. The incidence rate of malaria declined globally between 2010 and 2017, from 72 to 59 cases per 1000 population at risk. Malaria killed more than 435 000 subjects in 2017, compared with 451 000 estimated deaths in 2016, and 607 000 in 2010. A total of US$ 3.1 billion was spent on malaria control activities. However, malaria is preventable and curable.
During the past Iranian year (March 2018-March 2019) more than 300,000 suspected cases of malaria have been investigated by Zahedan University of Medical Sciences (ZAUMS), and 46 cases of malaria have been detected and immediate medical treatment has been initiated. During this time period, a total of 44 cases (95.6%) were imporeted and and only 3 cases were falciparum malaria (6.5%), with no local falciparum transmission.
Vice Chancellor for Health at Zahedan University of Medical Sciences pointed out that with all the preventive measure taken in line with malaria elimination by Zahedan University of Medical Sciences no fatal cases of malaria has been reported in the area covered by ZAUMS during the past 5 years.
We are already ahead of the goals set out in the Malaria Elimination Plan, but all malaria elimination activities including vector management measures such as Indoor Residual Spraying (IRS) in high-risk foci, larvacidal activities and fumigation and the training of the target groups is underway.
He also reported a 75% reduction in local malaria transmission rates in the year 2018, as compared with the year before. He also added: "With those activities we have witnessed a 100% decline in the local Falciparum cases, a 62% decrease in total Falciparum cases, a 24% decrease in Iranian cases and a 22% decrease in total malaria cases (Vivax and Falciparum) during 2018.
In order to identify patients as soon as possible, in addition to blood microscopy, malaria is currently screened among both Iranian and non-Iranians population by using Rapid Diagnosis Test (RDT) kits, even in the far-flung areas of the province.
The recent changes in climate and increase in the rainfall in the province have resulted in increased humidity that created environmental condition in favor of larval growth and the possibility of abundance of Anopheles mosquitoes. In this regard, vector management activities will be beefed up in the province. So far in more than 85% of malaria foci IRS activities have been implemented in rural areas of Sistan and Baluchestan Province, those measures will be continued to cover all the high-risk foci.
Raising awareness and improving preparedness to manage malaria cases admitted to the hospitals affiliated with ZAUMS, active and intensified case finding IRS, and fogging, distributing insecticide-treated mosquito nets (LLINs), and tracking the cases identified and engaging the Community Health Volunteers (CHVs) are among the most important activities on the agenda to tackle malaria in the provinces.
Since the beginning of this year, more than 300,000 suspected cases of malaria cases have been investigated, and 46 subjects were confirmed as malaria cases. Among total malaria cases 28 (60%) were non-Iranians and 18 (40%) were Iranian nationals.
Based on scientific evidence and local studies, Anopheles mosquito habitats are more common in some villages in the province; therefore, the entomological investigation has been carried out on a fortnightly basis.
Copyright © 2019 Zahedan University of Medical Sciences. All rights reserved. Date Updated: 10/04/2019.
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|Date : 13/04/2019 14:09
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