ELIMINATION IN WHO EUROPEAN REGION Dr Elkhan Gasimov Malaria - - PowerPoint PPT Presentation

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UPDATE ON MALARIA ELIMINATION IN WHO EUROPEAN REGION Dr Elkhan Gasimov Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland Autochthonous malaria cases in Europe, 1990 - 1996 100000 90712 90000 87403 80000 70000

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

UPDATE ON MALARIA ELIMINATION IN WHO EUROPEAN REGION

Dr Elkhan Gasimov

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

1996

Autochthonous malaria cases in Europe, 1990 - 1996

8884 19102 87403 90712 10000 20000 30000 40000 50000 60000 70000 80000 90000 100000 1990 1991 1992 1993 1994 1995 1996

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

1996 2005

Autochthonous malaria cases in Europe, 1990 - 2005

8884 19102 90712 75685 37173 20215 5074 10000 20000 30000 40000 50000 60000 70000 80000 90000 100000 1990 1992 1994 1996 1998 2000 2002 2004

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Autochthonous malaria cases in Europe, 1990 - 2014

Cases in 2014 Indigenous: 2 (Tajikistan) Introduced: 7 Induced: 1 Congenital: 1 1996 2014 2005 8884 19102 90712 75685 37173 20215 5074 589 251 11 10000 20000 30000 40000 50000 60000 70000 80000 90000 100000 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Central Asia, 2014

TAJIKISTAN KYRGYZSTAN TURKMENISTAN KAZAKHSTAN UZBEKISTAN

5000 10000 15000 20000 25000 30000 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

1 10 100 1000 10000 100000 Cases Years

P.v. P.f.

Tajikistan

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

South Caucasus, 2014

2000 4000 6000 8000 10000 12000 14000 1 9 9 2 1 9 9 4 1 9 9 6 1 9 9 8 2 2 2 2 4 2 6 2 8 2 1 2 1 2

AZERBAIJAN AZERBAIJAN ARMENIA GEORGIA

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

0.2 3.7 17.0 6.6 1.9 0.5 0.1 0.0 0.0 5.0 10.0 15.0 20.0 2000 4000 6000 8000 10000 12000 14000 Incidence per 10,000 population Number of cases Years

Number of cases Incidence per 10,000 population

Azerbaijan

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Turkey, 1992-2014

TURKEY

18665 5252 589 166 4 32 5 218 9 11381 84321 1 10 100 1000 10000 100000 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Greece, 2009 - 2015

7 4 42 20 3 1 20 40 60 80 100 120 2009 2010 2011 2012 2013 2014 2015 Cases Years

Imported, all Locally-acquired TOTAL

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

2015

Tajikistan: 1 case, Khatlon province, registered in January (case of 2014) Georgia: 1 induced case Greece: 1 case, Trikala, Farkadona municipality, Thessaly region, introduced

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Regional Framework

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Overall development

Source: http://www.tradingeconomics.com/

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Azerbaijan: GDP/Malaria incidence

0.2 0.9 3.7 17.0 12.7 6.6 2.9 1.3 0.5 0.2 0.0

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Political commitment

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Funding

Government

2000000 4000000 6000000 8000000 10000000 12000000 14000000 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 TGF GOV Total

The Global Fund

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

1,000,000 2,000,000 3,000,000 4,000,000 5,000,000 6,000,000 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

GOV vs TGF funding (2005-2014)

200,000 400,000 600,000 800,000 1,000,000 1,200,000 1,400,000 1,600,000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

500,000 1,000,000 1,500,000 2,000,000 2,500,000 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

AZE TJK KRG UZB

1000000 2000000 3000000 4000000 5000000 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Surveillance

2,324,579 2,112,4562,178,519 2,091,938 1,959,955 1,869,184 1,864,593 1,638,407 500,000 1,000,000 1,500,000 2,000,000 2,500,000 2007 2008 2009 2010 2011 2012 2013 2014

AZE GEO KRG TJK TUR UZB TOTAL

  • Notifiable disease (urgent

notification)

  • ACD and PCD
  • Cases are investigated and

classified

  • Foci are investigated and

classified

  • National register of cases
  • Lab register
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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

50 100 150 200 250 300 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

AZE GEO KRG TJK UZB

1,081,918 people protected by IRS in 2014

Vector control: IRS, 2000-2014

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Vector control: ITN, 2000-2014 (1,066,107)

16,799 18,688 10,625 24,786 26,152 25,919 35,150 49,438 49,494 79,637 118,778 225,641 165,000 135,000 85,000 50000 100000 150000 200000 250000

AZE KRG TJK UZB TOTAL

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Cross-border collaboration: AZE-GEO

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Cross-border collaboration: KAZ-KRG-TJK-UZB

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Cross-border collaboration: TKM-AFG

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Cross-border collaboration: TJK-AFG

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Azerbaijan Azerbaijan Georgia

2004

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Georgia Azerbaijan Azerbaijan

2005

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Georgia Azerbaijan Azerbaijan

2006

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

2007

Georgia Azerbaijan Azerbaijan

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Georgia Azerbaijan Azerbaijan

2008

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Georgia Azerbaijan Azerbaijan

2009

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Georgia Azerbaijan Azerbaijan

2010

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Georgia Azerbaijan Azerbaijan

1

2011

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Georgia Azerbaijan Azerbaijan

1

2012

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Georgia Azerbaijan Azerbaijan

2013

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Risk of reintroduction

  • Tajikistan

Border with Afghanistan

  • Turkey

Refugees

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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Challenges

  • Political commitment

High Level Consultation on Prevention of Malaria Reintroduction in the WHO European Region, 22-23 February 2016, Ashgabat, Turkmenistan

  • Funding
  • Vigilance
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Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

Thank for attention