Malaria control programme

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• Malaria control programme
• --------
• ELIMINATION STRATEGY
• MOROCCO
• Damascus, 21-23 June 2005

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Malaria in Morocco History

• 1965 Malaria control programme 30.000 cases
• 1975 Eradication of malaria due to P.falciparum
• 1998 Control of the epidemiologic situation 68
  cases
• 1999 Elimination strategy

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Elimination strategy Objectives

• To eliminate the autochthonous malaria by 2006
• To control the imported malaria

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Objective 1 To eliminate malaria in 2006

• Intensifying of control actions
• - intensive and targeted case detection
  (residuals
• carriers)
• - intensive vector control
• Promotion of the intersectoralle collaboration
• - elimination of risk factors
• International collaboration
• - technical and financial support (RBM Project)

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Objective 2 To control the imported malaria

• Prevention
• - Chemoprophylaxis and advices to
  travelers
• - Health control at the borders
• Control Early diagnosis and treatment

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Elimination strategy Epidemiologic situation

• Autochthonous malaria
• 2002 Focus of transmission at Chefchaouen 19
  cases
• 2003 No transmission (4 residuals cases)
• 2004 No transmission (1 residual case)
• Imported malaria
• 2003 67 cases
• 2004 55 cases

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Annual distribution of malaria cases,1980 -
2004
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Elimination strategy Achievements

• Maintain of the vigilance
• - Annuals meetings to study the provincial plans
  of actions
• - Supervisions at the field
• - National assessment at middle term in 2004
• Reinforcement of the surveillance activities and
  quality control
• - Establishment of a network of 8 sentinel sites
  of insecticide resistance monitoring and
  mosquitoes identification
• - Creation of regional laboratories of quality
  control
• - Maintain of activities of surveillance at
  high level
• Mobilization at the field
• - Extension of the zones at risk31provinces at
  risk in 2004
• - Campaign of vector control by biological
  action (malaria african day 04)
• - Mapping of breeding sites of mosquitoes

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Elimination strategy Achievements
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Elimination strategy Achievements

• Training and retraining
• - retraining of 15 technicians of microscopy in
  2003
• - training of 10 technicians of microscopy in
  2005 (regions)
• training of the personnel in charge of resistance
  monitoring
• Heighten awareness on the use of GIS in mapping
  of breeding sites of mosquitoes
• review of the strategy of imported malaria
  control.
• Intersectoral collaboration
• - Establishment of national comity of IVM
• - Involvement of other sectors in imported
  malaria control (malaria african day 05)

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Constraints

• Resources reduction
• - Humans (volunteer retirement)
• - Financial
• Insufficiency of
• - Intersectoral collaboration
• - Community participation
• Illegal immigration (Africans south of sahara)

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Conclusion Objectives 2005-2006

• To consolidate the stop of the transmission
• - To maintain activities of surveillance
• - To eliminate risk factors
• To control of the imported malaria
• - Prevention and early diagnostic and treatment
  of
• the cases
• - Health control at the borders
• To reinforce intersectoral collaboration

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• Thank you