WHO Expert Committee on Malaria : Twentieth Report.
Title:
WHO Expert Committee on Malaria : Twentieth Report.
Author:
Organization, World Health.
ISBN:
9789240686489
Personal Author:
Physical Description:
1 online resource (82 pages)
Series:
WHO Technical Report Series
Contents:
CONTENTS -- 1. Introduction -- 2. Current global malaria situation -- 3. Implementation status of the Global Malaria Control Strategy -- 3.1 Provision of early diagnosis and prompt treatment -- 3.2 Implementation of selective and sustainable preventive measures -- 3.2.1 Vector control -- 3.2.2 Environmental management -- 3.2.3 Biological control: use of larvivorous fish -- 3.2.4 Chemoprophylaxis -- 3.3 Early detection, containment or prevention of malaria epidemics -- 3.4 Capacity building -- 3.5 Prevention of the re-emergence of malaria -- 4. Relationship of malaria control programmes to health sector reforms -- 4.1 Decentralization of the health system -- 4.2 Health-care financing reforms -- 4.3 Increased partnership with communities and the private sector -- 5. Disease management -- 5.1 Management of uncomplicated malaria -- 5.1.1 Diagnosis -- 5.1.2 Availability and quality of treatment -- 5.2 Management of severe malaria at the periphery -- 6. Drug resistance of malaria parasites -- 6.1 Monitoring of drug resistance -- 6.1.1 Monitoring of therapeutic efficacy -- 6.1.2 In vitro susceptibility testing -- 6.1.3 Surveillance-based molecular markers of drug resistance -- 6.2 International monitoring of the drug response of P. falciparum -- 6.3 Antimalarial treatment policy -- 6.4 Containment of parasite drug resistance -- 7. Malaria epidemics: prediction, preparedness and control -- 7.1 Epidemic risk and epidemic-prone areas -- 7.2 Epidemic preparedness, prediction and prevention of epidemics -- 7.3 Epidemiological information systems -- 7.4 Epidemic response -- 7.5 Post-epidemic action -- 8. Prevention of malaria -- 8.1 Selective vector control -- 8.1.1 Indoor residual spraying -- 8.1.2 Use of DDT in malaria control -- 8.1.3 Use of insecticide-treated materials -- 8.1.4 Management of malaria in development projects.
8.1.5 New developments in Africa -- 8.1.6 Use of gametocytocidal drugs -- 8.2 Chemoprophylaxis -- 8.2.1 Chemoprophylaxis among non-immune people visiting endemic areas -- 8.2.2 Prevention of malaria in pregnancy -- 8.3 Malaria vaccines and basic research -- 8.4 Trends in insecticide resistance -- 8.5 Cost-effectiveness of preventive measures -- 9. Information systems and operational research -- 9.1 Epidemiological indicators -- 9.1.1 Standardized case definitions -- 9.1.2 Indicators -- 9.2 Operational research -- 9.2.1 National programme capabilities for operational research -- 9.2.2 Constraints on operational research -- 9.2.3 Addressing the constraints -- 9.2.4 Priority areas for operational research related to programme objectives and policy -- 10. Award of the Darling Medal and Prize -- 11. Roll Back Malaria -- 12. Conclusions and recommendations -- 12.1 Conclusions -- 12.2 Recommendations -- 12.2.1 General recommendation -- 12.2.2 Relationship of malaria control programmes with changing health sector reforms -- 12.2.3 Disease management -- 12.2.4 Drug resistance -- 12.2.5 Operational systems and operational research -- 12.2.6 Malaria in pregnancy -- 12.2.7 Vector control -- 12.2.8 DDT -- 12.2.9 Epidemics -- Acknowledgements -- References -- Annex 1 -- Use of DDT in vector control -- Annex 2 -- Improving information exchange.
Abstract:
Reports the recommendations and conclusions of an expert committee convened to assess progress in implementation of the Global Malaria Control Strategy adopted in 1992. Issued at a time when malaria control is one of the highest priorities at WHO the report offers expert advice on the full range of questions - from the best measures for ensuring early diagnosis and prompt treatment to strategies for the prevention of drug resistance - that can help countries strengthen programmes for control. The report opens with fact figures and maps profiling the current global malaria situation including trends in the spread and intensification of parasite resistance to antimalarial drugs. Section two considers the extent to which each of four technical elements of the global strategy has been implemented over the past decade. The relationship of malaria control programmes to health sector reforms is explored in the next section which focuses on the impact of health system decentralization reforms in health-care financing and the growth of partnerships with communities and the private sector. Against this background the components of proper disease management are presented and discussed in terms of their relevance to control programmes. Topics covered include the advantages and disadvantages of diagnosis based on clinical observations the role of microscopical and other tests for parasite detection and the factors to consider when deciding on treatment objectives and recommended drugs. The difficult question of drug supply in the absence of formal health services is also considered. Subsequent sections offer advice on techniques for monitoring drug resistance and therapeutic efficacy strategies for the containment of parasite drug resistance and methods for the prediction and control of malaria epidemics. A section on the prevention of malaria describes
various approaches to vector control including the use of insecticide-treated bednets and other materials the management of malaria in development projects and the current status of drugs used for chemoprophylaxis. The remaining sections discuss information systems and operational research and describe WHO's new Roll Back Malaria initiative.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
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Electronic Access:
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