World Health Organization : Technical Report Series, No. 680: Malaria Conirol and Naional Heallh Goals

By Enrique M. Garcia

Book Id: WPLBN0000177859
Format Type: PDF eBook
File Size: 2.7 MB
Reproduction Date: 2005

Title:	World Health Organization : Technical Report Series, No. 680: Malaria Conirol and Naional Heallh Goals
Author:	Enrique M. Garcia
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Garcia, E. M. (n.d.). World Health Organization : Technical Report Series, No. 680. Retrieved from http://self.gutenberg.org/

Description
Medical Reference Publication

Excerpt
INTRODUCTION The Seventh Asian Malaria Conference, convened by the World Health Organization in Manila, Philippines, was opened by His Excellency the Minister of Health of the Philippines, Dr Enrique M. Garcia, on 3 November 1980. The WHO Regional Director for the Western Pacific, Dr H. Nakajima, welcomed the participants and transmitted an address from the Director-General of the World Health Organization. Messages were received from the WHO Regional Directors for the Eastern Mediterranean and South-East Asia. Dr Jacinto Dizon, Director, Bureau of Health Services, Government of the Philippines, was elected Chairman and Dr S. Pattanayak, Director, National Malaria Eradication Programme, India, Vice-Chairman. The Rapporteurs were Professor P. M. Moodie, Commonwealth Institute of Health, Australia, and Dr Adnan Budeir, Director of Communicable Diseases, Syrian Arab Republic.

Table of Contents
CONTENTS Page Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 1 . The malaria situation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 1.1 The global malaria situation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 1.2 The malaria situation in Asia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 1.2.1 Eastern Mediterranean Region . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .9 1.2.2 European Region (Turkey) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 1.2.3 South-East Asia Region . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 1.2.4 Western Pacific Region . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 1.3 Main aspects and future prospects of malaria control in Asia . . . . . . . . . . .13 1.3.1 Impediments to malaria control/eradication as seen today . . . . . . . .13 1.3.2 Political and administrative approach to control . . . . . . . . . . . . . . . . .15 1.3.3 The technical approach to control . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 1.3.4 Prospects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 2 . Reintroduction of malaria into countries from which it has been eradicated 20 2.1 Stratification according to malariogenic potential . . . . . . . . . . . . . . . . . . . . . 20 2.2 Changes in the malariogenic potential of an area . . . . . . . . . . . . . . . . . . . . . . 21 2.3 The malariologist's responsibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 2.4 Responsibility of the general health services . . . . . . . . . . . . . . . . . . . . . . . . . . 23 2.5 Training for malaria surveillance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 3 . Drug resistance of Plasmodium falciparum in Asia . . . . . . . . . . . . . . . . . . . . . . . . 25 3.1 Spread of P . falciparum, resistant to 4-aminoquinolines . . . . . . . . . . . . . . . . 25 3.2 Emergence of sulfonamide-pyrimethamine resistance . . . . . . . . . . . . . . . . . 26 3.3 Treatment of drug-resistant falciparum malaria . . . . . . . . . . . . . . . . . . . . . . . 26 3.4 Control of drug-resistant P . falciparum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 4 . The role of malaria programmes \vithin national strategies for health for all by theyear2000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.1 Primary health care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.2 Role of the WHO Programme Coordinator . . . . . . . . . . . . . . . . . . . . . . . . . . 4.3 Integration of malaria control into the general health system . . . . . . . . . . . 4.3.1 China . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.3.2 Thailand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.3.3 VietNam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.3.4 Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.4 Intersectoral cooperation in malaria control . . . . . . . . . . . . . . . . . . . . . . . . . . 4.5 Technical cooperation among developing countries . . . . . . . . . . . . . . . . . . . . 5 . Training in malaria for countries in Asia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.1 Training requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.2 Te