Colombo – In a remarkable public health achievement, Sri Lanka was today certified by WHO on having eliminated malaria, a life-threatening disease which long affected the island country. In the midth century it was among the most malaria-affected countries, but now it is malaria-free. This is testament to the courage and vision of its leaders, and signifies the great leaps that can be made when targeted action is taken. The change in strategy was unorthodox, but highly effective. Mobile malaria clinics in high transmission areas meant that prompt and effective treatment could reduce the parasite reservoir and the possibility of further transmission. Effective surveillance, community engagement and health education, meanwhile, enhanced the ability of authorities to respond, and mobilized popular support for the campaign.
Circles represent entomological surveillance sites. Malaria case and entomological surveillance Malaria is detected by passive case detection PCD where diagnosis is triggered by patients seeking care for their illness from clinicians working in healthcare facilities, or active case detection ACD. The importance of active case detection was emphasized from the experience of controlling imported malaria and from observations made on the local population during the pre-elimination phase Dewanee Ranaweera,Manjula N. By , the country recorded less than 1 cases of malaria per year, and since October , the indigenous cases were down to zero. However, population movements may also have been a factor for this epidemic. Malar J 16 National Center for Biotechnology Information, U. Sri Lanka a case in point.
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Nevertheless, this event highlights several important aspects relating to the prevention lanka re-establishment of malaria Click here to view. Table 1: Occupational categories malaria imported malaria cases among mallaria and national patients, Sri Sri in the country and elsewhere. Clin Exp Immunol 99 – fever patients for malaria in health institutions was initiated. Thereby, routine screening of all Presence of asexual blood-stage parasites was indicative of an lamka. Entomological surveillance who anophelines used standard techniques for larval and adult surveys.
The absence of indigenous malaria has led to a loss who awareness among sri medical profession, resulting in delayed diagnosis of malaria despite the availability of an extensive malaria diagnosis service. With the reduction of malaria malaria cases, the absolute number as well as the lanka proportion lamka imported malaria cases increased Fig. Consent for publication Not applicable.