1. The Status of Malaria in South Africa
DEVANAND MOONASAR

2. INTRODUCTION Malaria – Disease -Plasmodium falciparum.
Transmission – Female Anopheles mosquito.
Vectors Anopheles, arabiensis, gambiae
and funestus.
Areas low altitude
malaria season October to May

3. Malaria in South Africa-
National Department of Health - Policy
Malaria Advisory Group.
Vector Sub committee
Sub - committee for Chemoprophylaxis and Treatment.
KZN - Department of Health
NP - Department of Health
Mp - Department of Health.

4. Risk Areas Low altitude areas of Northern province Mpumalanga
North Eastern Parts of KZN.
Northern Cape (rare)

6. No. of cases Last decade : Year No. of cases Deaths 1990 6822 35
1999 `

8. MALARIA RISK MAP FOR SOUTH AFRICA

9. DOH malaria control policy
Vector Control mainstay IRS.
Case management. -Early Diagnosis + Rx
Community Mobilisation.
Epidemic Surveillance

10. Vector control IRS - Larviciding: ITNS- Insecticide Treated nets
Pyrethroids
Carbamate
DDT.
Larviciding:
Temaphos, oils etc
ITNS- Insecticide Treated nets

11. Disease management Diagnosis: - Rapid Kits - Microscopy Treatment:
- SP- Fansidar
- Coartem (Coartmether + lumefantrene)
- Quinine
Training:
Healthcare staff in districts

12. Community mobilization
Messages on malaria b4 the malaria season
Radio
Newspaper
School plays
KAP - IMCI
Training/ informing Traditional healers

13. Inter-country Collaboration
LSDI - Lumbombo Spatial Development Initiative
SAMC - Southern African Malaria Control
SADC Malaria control policy.

14. Malaria advocacy Government commitment Malaria week - Nov 5-9/01
RBM Launch
LSDI Launch .

15. Achievements Decreased malaria 2000/01 by more 35%. Re- introduced DDT
Reviewed and implemented drug policy.
Scaled up infrastructure
Inter-country collaborations.
SAMC - malaria Award

16. Priorities for coming year.
Increasing National Capacity for MCP.
Scale up ITN coverage.
Launch RBM
Launch LSDI
Implement new drug policy in NP,MP.

17. Malaria Control Partners
South African Medical Research Council.
South African Institute for Medical Research
University of Cape Town
World Health Organization (WHO)
NP, MP and KZN Provincial Departments of Health.