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Progress & ImPact serIes - Roll Back Malaria - World Health ...

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chapter III<br />

South and South-EaSt aSia<br />

Several countries in the region have been successful in reducing malaria, gains that are<br />

attributable to increasing the coverage of antimalaria interventions and to development activities<br />

which have made habitats less suitable for malaria vectors. But the region still contains the<br />

highest numbers of cases and deaths from malaria outside of Africa. Bringing down malaria in<br />

this region increasingly concentrates the disease in populations and areas that have been least<br />

affected by development—tribal populations and border areas—and where transmission can<br />

be particularly intense due to highly efficient vectors. Providing services to these areas and<br />

populations presents particular challenges and requires more commitment and resources than<br />

in easier-to-reach populations. Yet it is in these areas that efforts must be intensified in order<br />

to make significant inroads on the remaining burden of malaria and to prevent the emergence<br />

of drug resistance.<br />

Countries in control phase: Bangladesh, Bhutan, Cambodia, China, India, Indonesia, Lao<br />

People’s Democratic Republic, Myanmar, Nepal, Philippines, Thailand, Timor-Leste, Viet Nam<br />

Countries in pre-elimination phase: Democratic People’s Republic of Korea, Malaysia, Sri<br />

Lanka<br />

Countries in elimination phase: Republic of Korea<br />

Countries in prevention of reintroduction phase: None<br />

Parasitological species of reported malaria cases: P. falciparum 58%, P. vivax 41%, P. ovale,<br />

P. malariae, and P. knowlesi<br />

Main vectors: An. Culicifacies (in plains); An. minimus, An. dirus, An. fluviatilis (in forests);<br />

An. stephensi (in urban areas)<br />

Population at risk: 2.1 billion; 62% of the resident population<br />

Estimated number of cases: 29 million; 13% of global total, 84% of total outside of Africa<br />

Estimated number of malaria deaths: 39 000; 6% of global total, 84% of total outside of Africa<br />

Source: <strong>World</strong> <strong>Malaria</strong> Report 2011 (16).<br />

DefeATINg MALARIA IN ASIA, The PACIfIC, AMeRICAS, MIDDLe eAST AND euRoPe<br />

33

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