MALARIA CONTROL PROGRAMME

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• MALARIA CONTROL PROGRAMME
• IN MOROCCO
• --------
• ELIMINATION STRATEGY
• 6th intercountry meeting of national malaria
  programme managers
• Cairo, 3-6 July 2006

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MALARIA IN MOROCCO History

• 1965 Starting of control programme 30.000
  cases
• 1973 P.falciparum eradication
• 1998 situation control and adoption of
  elimination strategy
• 1999-2006Implementation of the elimination
  strategy

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Number of autochtonous malaria cases, Morocco,
1960-1978
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Number of malaria cases,Morocco, 1980 - 2005
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Elimination strategy Objectives

• To eliminate autochtonous malaria elimination in
  2006
• To control imported malaria

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Objective 1 To eliminate the autochtonous
malaria by 2006

• Intensification of control actions
• - intensive and focused case detection
  (relapsing carriers)
• - intensive vector control
• Promotion of intersectoral collaboration
• - control of risk factors

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Objective 2 To control imported malaria

• Prevention
• - Chemoprophylaxis and advise to
  travelers
• - Health control at the borders
• Control Early treatment of cases (P.Falciparum)
  

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Provinces at malaria risk,Morocco, 2000-2005
Rabat

• Risk factors (criteria)
• - Epidemiologic history
• Presence of the vector
• Population Movement.

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Elimination strategy Achievements
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Elimination strategy Achievements
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Elimination strategy
Epidemiologic situation2002 Last
focus of transmission at Chefchaouen (19 cases)
2003-2005 without local transmission2003 and
2004 Relapsing cases
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Achivements and progress

• Stopping local transmission
• - Surveillance control activities at high
  level
• Maintaining of vigilance
• - Annual meetings to discuss the plans of
  actions
• - Supervisions at the field
• - Reports of provincial committees of vigilance
• Mobilization at the field
• - Extension of the areas at risk
  16/1999---31/2004

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Achivements and progress

• Training and retraining
• Retraining of 15 technicians in microscopy per
  year
• Training of 10 technicians in microscopy in 2005
  (regionalization)
• Training of the personnel in charge of resistance
  monitoring
• Training on imported malaria strategy
• Reinforcement of the surveillance and quality
  control
• - Implementation of 10 laboratories of quality
  control
• - Consultation for the evaluation of the
  resistance monitoring
• Intersectoral collaboration
• - The National Committee of IVM
• International collaboration WHO (1999-2005)
• - Technical (consultations) and financial

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Constraints

• Resources Reduction
• - Humans
• - budget allocated (nationals and
  internationals)
• Insufficiency of
• - intersectoral collaboration
• - community participation
• Illegal immigration

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Elimination strategy Objectives 2007 - 2010

• To maintain stopping of the transmission
• - To reinforce the activities of surveillance
• - To control risk factors
• To control imported malaria
• - Prevention and early treatment of cases
• - Health control at the borders

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Elimination StrategyMaintain the vigilance

• Training and retraining
• Heighten awareness of the personnel at the field
• Evaluation by provincial comities of vigilance
• To collaborate with the other sectors (IVM)
• Collaboration with WHO

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Elimination strategy Main activities 2007 - 2010
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Budget

• National budget
• - Surveillance and routine activities
• (300.000 US / year)
• WHO Budget
• - technical and financial support

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A document Malaria in Morocco 1920-2006

• Our experience
• Constraints
• Challenges
• Success story
• - etc......Elimination on a good away

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• Thank you for
• your attention