1. Overview of Guyana’s Malaria Situation Dr. Reyaud Rahman

2. About Guyana officially the Co-operative Republic of Guyana, is a sovereign state on the northern coast of South America. Guyana is one of the few Caribbean countries that is not an island.Caribbean

3. Guyana is bordered by Suriname to the east; by Brazil to the south and southwest; by Venezuela to the west; and by the Atlantic Ocean to the northSurinameBrazilVenezuela At 215,000 square kilometres (83,000 sq mi)

4. Guyana is divided into 10 regions NoRegionArea km²Population Population per km² 1Barima-Waini20,33924,2751.2 2Pomeroon-Supenaam6,19549,2538.0 3 Essequibo Islands-West Demerara 2,232103,06146.2 4Demerara-Mahaica1,843310,320168.4 5Mahaica-Berbice3,75552,42814.0 6East Berbice-Corentyne36,234123,6953.4 7Cuyuni-Mazaruni47,21317,5970.3 8Potaro-Siparuni20,05110,0950.5 9Upper Takutu-Upper Essequibo57,75019,3871.3 10Upper Demerara-Berbice19,38741,1122.1 Guyana214,999751,2233.49

5. Vector Bourne Diseases in Guyana 2012 Malaria 31876 Dengue Fever Filariasis Leishmaniasis Chagas Disease

6. Diagnosis Gold Standard Malaria Microscopy RDT in out break situations

7. Malaria in 2012 P. falciparum 16,694 P. vivax 11,225 P. malariae 83 Mix 3,598 Active Case Detection 53,464 Passive Case Detection 143,000

8. data on malaria new cases for the period January to March, 2013, based on reports received Jan-March, 2013, Total Smears taken and examined- 35,281 Positive new cases – 7,213 P. falciparum – 3,720 P. vivax – 2,569 P. malariae.- 35 Mix- infections – 889 Active Case Detection 8,172 Passive Case Detection 27,109

9. Imported Cases in 2012 Foreign imported positivesfalciparumvivaxmalariae Mixed Infections Brazil 3120 16 00 Venezuela 1610600 Suriname 10100 Ghana 11000 St - Martin 11000 China11000

10. Pregnancy Infected 2012 Total Cases seen 312 Falci146 Malariae 1 Mix 35 Vivax 130

11. POSITIVE MALARIA NEW CASES BY AGE – GROUPS. < 1 YEAR- 28 =0.3% 1-4 YEARS- 196 =3% 5-14 YEARS- 586 =8% 15-49 YEARS 5,844 =81% 50 + YEARS- 559 =8% TOTAL 7,213

12. New cases by ethnic groups Afro- Guy- 2952 Amerindian- 1946 Chinese – 12 East Indian- 1037 Mix Race- 2163 Others- 3

13. Mining is high investment and high producing sector that generates important foreign exchange earning for the Guyanese Economy In 2008 the mineral production (Output) G$ 73,113 Billions (18% more than 2007) Production continues to arise in 2009-2011, by small and medium Scale Guyanese miners continue to be strong. 2009 the production of Gold surpassed 260,000 in 2008 to 305,000 oz. in 2009, & 2010.

14. Prevention and Control Programs Active vector Bourne disease work in endemic regions and non endemic regions Prompt diagnosis and early treatment Dissemination of IEC material Creation of school health clubs and Vector Bourne committees

18. Detect early and control, to prevent epidemics In Vivo studies done every three years to detect any drug resistance Refresher training courses for Malaria Microscopy Distribution of LLINs

19. Constraints In adequate human resource Dangerous nature of the job e.g Riverain, mountainous, dense rainforest, dangerous criminals. Non compliance of patients to use full drug dosage Self medication

30. Needs Assistance in developing policies and procedures in strengthening our diagnostic capacity. Quality Assurance programs M&E officer training IT personnel with training and the use of Epi info for our MIS

31. Needs Specialist in Malaria microscopy, Leishmaniasis, Chagas to evaluate and possibly re-train our Microscopist Entomology training

34. The End Thank You