UPDATE ON MALARIA ELIMINATION IN WHO EUROPEAN REGION Dr Elkhan Gasimov
Autochthonous malaria cases in Europe, 1990-1996 1996 100000 90000 80000 70000 60000 50000 40000 30000 20000 10000 0 87403 90712 19102 8884 1990 1991 1992 1993 1994 1995 1996
Autochthonous malaria cases in Europe, 1990-2005 1996 2005 100000 90000 80000 70000 60000 50000 40000 30000 20000 10000 0 90712 75685 37173 19102 8884 20215 5074 1990 1992 1994 1996 1998 2000 2002 2004
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 Autochthonous malaria cases in Europe, 1990-2014 1996 2014 2005 100000 90000 80000 70000 60000 50000 40000 30000 20000 10000 0 8884 19102 90712 75685 Cases in 2014 Indigenous: 2 (Tajikistan) Introduced: 7 Induced: 1 Congenital: 1 37173 20215 5074 589 251 11
Central Asia, 2014 30000 25000 20000 15000 10000 5000 0 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 KAZAKHSTAN UZBEKISTAN KYRGYZSTAN TURKMENISTAN TAJIKISTAN
Cases Tajikistan 100000 10000 P.v. P.f. 1000 100 10 1 Years
South Caucasus, 2014 GEORGIA 14000 12000 10000 8000 6000 4000 2000 0 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 ARMENIA AZERBAIJAN AZERBAIJAN
Number of cases Incidence per 10,000 population 14000 20.0 12000 10000 8000 6000 17.0 Number of cases Incidence per 10,000 population 15.0 10.0 4000 2000 0 0.2 3.7 6.6 1.9 0.5 0.1 0.0 5.0 0.0 Years
Turkey, 1992-2014 TURKEY 100000 84321 10000 18665 11381 5252 1000 100 10 589 166 9 218 4 32 5 1 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014
Cases Greece, 2009-2015 120 100 80 Imported, all Locally-acquired TOTAL 60 40 20 0 42 20 7 4 3 0 1 2009 2010 2011 2012 2013 2014 2015 Years
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
Regional Framework
Overall development Source: http://www.tradingeconomics.com/
: GDP/Malaria incidence 17.0 12.7 6.6 0.2 3.7 0.9 2.9 1.3 0.5 0.2 0.0
Political commitment
Funding Government 14000000 12000000 10000000 8000000 6000000 4000000 2000000 TGF GOV Total The Global Fund 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
GOV vs TGF funding (2005-2014) 6,000,000 5000000 5,000,000 4,000,000 3,000,000 2,000,000 AZE 4000000 3000000 2000000 TJK 1,000,000 1000000 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 1,600,000 2,500,000 1,400,000 1,200,000 KRG 2,000,000 UZB 1,000,000 800,000 600,000 1,500,000 1,000,000 400,000 200,000 500,000 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Surveillance -Notifiable disease (urgent notification) -ACD and PCD -Cases are investigated and classified -Foci are investigated and classified -National register of cases -Lab register 2,500,000 2,000,000 1,500,000 1,000,000 500,000 0 2,324,579 2,112,456 2,178,519 2,091,938 1,959,955 1,869,184 1,864,593 1,638,407 2007 2008 2009 2010 2011 2012 2013 2014 AZE GEO KRG TJK TUR UZB TOTAL
Vector control: IRS, 2000-2014 300 250 200 150 100 50 0 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: ITN, 2000-2014 (1,066,107) 250000 AZE KRG TJK UZB TOTAL 225,641 200000 165,000 150000 100000 79,637 118,778 135,000 85,000 50000 0 16,799 18,688 24,786 26,152 10,625 25,919 49,438 49,494 35,150
Cross-border collaboration: AZE-GEO
Cross-border collaboration: KAZ-KRG-TJK-UZB
Cross-border collaboration: TKM-AFG
Cross-border collaboration: TJK-AFG
2004 Georgia
2005 Georgia
2006 Georgia
2007 Georgia
2008 Georgia
2009 Georgia
2010 Georgia
2011 Georgia 1
2012 Georgia 1
2013 Georgia
Risk of reintroduction -Tajikistan Border with Afghanistan -Turkey Refugees
Challenges -Political commitment High Level Consultation on Prevention of Malaria Reintroduction in the WHO European Region, 22-23 February 2016, Ashgabat, Turkmenistan -Funding -Vigilance
Thank for attention