Determination And Determination Program For Fight And Prevention

Parasitical Worms.com In 1955, the World Health Organization proposed a worldwide eradication program (10-12 years) with four stages: preparation (2 years), attack (4 years). ), consolidation (3 years) and protection (many years).
In the first 10 years, the program was carried out smoothly and malaria was eradicated in some countries, but from 1966 onwards the program progressed slowly due to a number of technical difficulties including three main difficulties. chemical resistant mosquitoes to kill DDT, malaria shelter outside the house to avoid DDT and Plasmodium falciparum parasite resistant chloroquin

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From 1969 to present.
In 1969, the World Health Organization reviewed the situation and proposed a new strategy, an indefinitely anti-malaria program, and the long-term goal is to eliminate malaria on a regional scale. Around the world Depending on each step, set up a program to prevent or eliminate malaria accordingly
By 1979, the World Health Organization turned to a malaria prevention strategy with four types of goals:
Target type 1: Reduce and prevent malaria deaths.
Target type 2: Reduce and prevent deaths and reduce morbidity in endangered populations (children, pregnant women, tourists, etc.



.)
Type of goal 3: As for goal 2, further reduce the level of malaria infection from time to time.
Target type 4: Have a national malaria prevention program with the ultimate goal of gradual elimination of malaria.
Since 1985, the World Health Organization has put malaria prevention program into the primary health care content.
In October 1992, a conference in Amsterdam reaffirmed a global malaria control strategy with the goals of reducing malaria mortality, reduction and damage.
In 1988, General Director of the World Health Organization G H Brundtland launched a campaign to "fight back malaria" (Roll Back Malaria) Repelling malaria is not a new technical strategy to prevent malaria, but rather a joint effort to work together to reduce the burden of malaria. The goal of repelling malaria is to reduce at least 50% of the burden of malaria (patients, deaths, epidemics) in the world by 2010.
Differences between malaria eradication and malaria prevention programs:
Content
Malaria eradication program
Malaria prevention program
Target
Completely stop the spread of malaria locally
Malaria is no longer a burden to society
Place of implementation
All places where malaria is spread
The marrow depends on the prevalence of disease, its accessibility and the importance of disease to society, politics and economy.
Acceptable minimum standard of operation
Cut off propagation throughout the region.



. If there is a new case on the spot, the cause and exclusion must be found
Reducing the spread to the point that the disease is no longer an important medical problem
Time to proceed
Have time. Considered to be free from malaria when the spread has ceased for 3 years throughout the region
Unlimited time
Operational funding
After malaria has been eradicated, funding is concentrated on joint health care activities
The operation funding is repeated every year
Integrating with other health programs
Difficult to accomplish because the goal is very specific and has a time limit
Done, as a public health program.
Detection
Very important, including proactive detection.
Mainly through passive detection (patients come to health facilities)
Exotic case
Very important, especially when malaria is eradicated
Not very important, unless P. falciparum appears where it was previously unavailable.
Epidemiological investigation of case
The most important and necessary is when the disease is nearly destroyed.
Not very important, unless P. falciparum appears where it was previously unavailable.
Epidemiological evaluation
Prove that there are no more cases of domestic malaria.



.
Parasite index, incidence rate.
Unit to be intervened
Disease outbreak (local)
People, cases.
Organizing committee
Must be very efficient and responsive, if there is no risk of program failure.
Probably not perfect, but it works.
Currently, with the situation of malaria reduction in some countries, the World Health Organization is encouraging countries to set the ultimate goal of eliminating malaria through stages. after:
As of July 2008, 10 countries in the world are at the stage of elimination of malaria, such as Algeria, Argentina, Armenia, Egypt, EL Salvador, Iraq, Paraguay, Republic of Korea, Saudi Arabia and Turkmenistan.
In January 2007, the United Arab Emirates, where malaria had previously been circulating, was the first country since 1980 to be recognized by the World Health Organization. have malaria.
In Viet Nam
The period 1958 - 1975
Because the country was divided, the program to eliminate malaria was carried out separately in the South and the North.




North: 1958 - 1975: Preparation 1961 - 1964: attack: 1965 - 1975: The end of the attack. As a result, the malaria parasite was 5 / 10,000 d.

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