The Status of Malaria in South Africa

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The Status of Malaria in South Africa
DEVANAND MOONASAR
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INTRODUCTION

• Malaria Disease -Plasmodium falciparum.
• Transmission Female Anopheles mosquito.
• Vectors Anopheles, arabiensis, gambiae
• and funestus.
• Areas low altitude
• malaria season October to May

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Malaria in South Africa-

• National Department of Health - Policy
• Malaria Advisory Group.
• Vector Sub committee
• Sub - committee for Chemoprophylaxis and
  Treatment.
• KZN - Department of Health
• NP - Department of Health
• Mp - Department of Health.

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Risk Areas

• Low altitude areas of
• Northern province
• Mpumalanga
• North Eastern Parts of KZN.
• Northern Cape (rare)

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No. of cases

• Last decade
• Year No. of cases Deaths
• 1990 6822 35
• 1991 4693 19
• 1992 2872 14
• 1993 13285 45
• 1994 10289 12
• 1995 8750 44
• 1996 27035 163
• 1997 23121 104
• 1998 26445 198
• 1999 51535
  402
• 2000 61934 423
• 2001 20345 69

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MALARIA RISK MAP FOR SOUTH AFRICA
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DOH malaria control policy

• Vector Control mainstay IRS.
• Case management. -Early Diagnosis Rx
• Community Mobilisation.
• Epidemic Surveillance

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Vector control

• IRS -
• Pyrethroids
• Carbamate
• DDT.
• Larviciding
• Temaphos, oils etc
• ITNS- Insecticide Treated nets

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Disease management

• Diagnosis
• - Rapid Kits
• - Microscopy
• Treatment
• - SP- Fansidar
• - Coartem (Coartmether lumefantrene)
• - Quinine
• Training
• Healthcare staff in districts

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Community mobilization

• Messages on malaria b4 the malaria season
• Radio
• Newspaper
• School plays
• KAP - IMCI
• Training/ informing Traditional healers

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Inter-country Collaboration

• LSDI - Lumbombo Spatial Development
  Initiative
• SAMC - Southern African Malaria Control
• SADC Malaria control policy.

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Malaria advocacy

• Government commitment
• Malaria week - Nov 5-9/01
• RBM Launch
• LSDI Launch
• .

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Achievements

• Decreased malaria 2000/01 by more 35.
• Re- introduced DDT
• Reviewed and implemented drug policy.
• Scaled up infrastructure
• Inter-country collaborations.
• SAMC - malaria Award

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Priorities for coming year.

• Increasing National Capacity for MCP.
• Scale up ITN coverage.
• Launch RBM
• Launch LSDI
• Implement new drug policy in NP,MP.

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Malaria Control Partners

• South African Medical Research Council.
• South African Institute for Medical Research
• University of Cape Town
• World Health Organization (WHO)
• NP, MP and KZN Provincial Departments of Health.
• www.malaria.org.za
• moonad_at_health.gov.za