Reduction of malaria cases has stalled after decades of bankruptcy around the world, according to a new one Global Malaria Report 2018.
To reduce mortality and malaria disease, the World Health Organization (WHO) and partners are joining a new country-led response kicked off on Monday to increase prevention and treatment and increase investment to protect vulnerable people from the fatal diseases.
For the second consecutive year, the World Health Organization (WHO) annual report reveals an increase in the number of people with malaria: 219 million malaria cases were estimated in 2017 compared to 217 million in the previous year. In previous years, the number of people who have malaria in the world has been steadily decreasing, from 239 million in 2010 to 214 million in 2015.
"But the world faces a new reality: as stagnation occurs, there is a risk that we will have to waste years of mourning, investment and success in reducing the number of people suffering from the disease," says Dr. Chief Executive Officer Tedros Adhanom Ghebreyesus, WHO Director-General. "We recognize that we have to do something else – now, so today we are launching a country-specific plan to take comprehensive measures against malaria by making our work more effective where it is most – at the local level."
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Where malaria hits most
In 2017, around 70% of all malaria cases (151 million) and deaths (274,000) were concentrated in 11 countries: 10 in Africa (Burkina Faso, Cameroon, Democratic Republic of Congo, Ghana, Mali, Mozambique, Niger, Uganda and United Republic of Tanzania) and India. In these 10 African countries, more than 3.5 million cases of malaria were recorded in 2017 compared to the previous year, while India has made progress in reducing the burden of illness.
Despite the marginal increase in recent years in the distribution and use of insecticide-treated bed nets in Sub-Saharan Africa – the primary malaria prevention tool – the report draws attention to large gaps in coverage.
In 2017, the estimated half of the endangered people in Africa slept under the nursing network. Even fewer households are protected by residual indoor spray than before, and access to preventive therapies that protects pregnant women and children from malaria remains too low.
High responses are needed
In line with the World Health Organization's (WHO) Strategic Vision to strengthen human health activities, a new "high-impact high-impact" response plan has been launched, targeting countries that support countries with the highest incidence of malaria and death. The answer is based on the challenge of Dr. Tedros at the World Health Assembly in May 2018 for an aggressive new approach to the progress of malaria.
It is based on four pillars: – Strengthening national and global political attention to reduce malaria deaths; Impact of management through strategic use of information; Introducing the best global orientation, policies and strategies for all endemic countries of malaria; and implementing a coordinated country response.
The WHO-Catalyst and the RBM Malaria Termination Partnership "High Impact High Impact" is based on the principle that no one should die from a disease that can be easily prevented and diagnosed, and is fully treatable with available treatments.
"There is no malaria state." The latest report on malaria evidence shows that further progress is not inevitable, and business as usual is no longer a choice, "Dr. Kesete Admas, CEO of Partnership for RBM. "A new country-led response will launch aggressive efforts to control malaria in countries with the highest burdens, and it will be crucial to get back on track with one of the most urgent health challenges we face."
Targets set by value WHO Global technical strategy for malaria 2016-2030 to reduce the incidence of malaria and death rates by at least 40% by 2020 are not on track.
Pockets of progress
The report highlights some positive progress. The number of countries approaching elimination continues to grow (46 in 2017 compared with 37 in 2010). Meanwhile, in China and Salvador, where malaria was endemic for a long time, no local malaria transmission was reported in 2017, evidence that intensive control efforts by individual countries could succeed in reducing the risk of people suffering from this disease.
In 2018, WHO Paraguay proved to be a malaria, the first country in America to gain this status in 45 years. The other three countries – Algeria, Argentina and Uzbekistan – have asked the WHO for official certification without malaria.
India – a country that accounts for 4% of the global burden of malaria – recorded a 24% reduction in 2017 compared to 2016 in 2017. Similarly, in Rwanda, 436,000 cases were reported in 2017 than in 2016. Ethiopia and Pakistan experienced a significant reduction more than
240,000 in the same period.
"When countries prefer anti-malaria measures, we see results in rescued lives, and the number of cases decreases," Dr. Matshidiso Moeti, WHO Regional Director for Africa. "WHO partners and global malaria control will continue to seek help from governments, especially those who have the greatest burden to ward off malaria response."
Home finance is key
In view of the slow reduction in malaria and death, the global response has also helped to compensate, with a $ 3.1 billion control and elimination program available in 2017, including $ 900 million (28%) from the governments of endemic malaria countries . The United States remains the largest single international donor, contributing USD 1.2 billion (39%) in 2017.
To reach the goals of the global malaria strategy in 2030, investment in malaria should reach at least $ 6.6 billion annually by 2020 – more than double the amount available.