RBM Update in Oman

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RBM Update in Oman

• Dr. Majed S. Al-Zedjali
• (BMedSc, MD, DFE, MPH)
• Head of Malaria Epidemiology

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Background
The National Malaria Eradication Program was
started in 1991 as a pilot project in the
eastern region, and extended to other regions in
phases.
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Background

• Objectives
• Cessation of local transmission
• Elimination of the reservoir of infected cases
• Activities
• Vector control ( mainly larviciding)
• Early case detection Prompt radical treatment
• Goal
• - API 1/10,000 by 2000

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After 2000

• - In 2000 API 0.025/10,000
• Objectives
• To maintain the incidence of indigenous
• malaria cases at zero.
• 2. To prevent malaria incidence as epidemics.

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Current Activities

• Health education.
• Vector control at high risk areas.
• Epidemiological surveillance.
• Strengthening diagnostic services.
• Early case detection (public, private, airport,
  surveys).
• Prophylaxis for travelers.
• Epidemic preparedness

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Insecticide Consumption

• Abate 50 6089 Ltrs
• Abate 1 granules 4487 Kgs
• Icon 10 W.P. 0.751 Kg
• Pesguard 142 Ltrs
• Mostyn 157 Ltrs

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Malaria Cases in 2003

• Total 740
• P. Falciparum 307
• Internationally imported 732
• Locally imported 0
• Introduced 6
• Relapse 1
• Cryptic 1

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Capacity Building

• Local
• Entomology
• Malaria microscopy
• International
• Malaria Program Planning 2
• Entomology --- expected 5

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Collaboration with WHO - 2003

• Malaria microscopy training in Yemen
• Cross-checking malaria microscopic slides for
  monitoring therapeutic efficacy in Ethiopia.

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Applied Researches

• Effectiveness of larvivourus fish as a vector
  control measure.
• Criteria for selection of patients who should be
  tested for malaria in private health
  institutions.

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Challenges

• International importation of malaria
• Illegal entrance
• Plasmodium vivax cases.

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Know Your Enemy The Female Anopheles Mosquito
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Thank You