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ANNUAL HEALTH BULLETIN 2004 - Ministry of Health

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The malaria trend has improved in the last few years compared to base year 1994.<br />

Reviewing the last five years epidemiological data the reported number <strong>of</strong> confirmed<br />

malaria cases were 5,935 in 2000,5982 in 2001,6511 in 2002 3806 in 2003 and 2670<br />

in <strong>2004</strong>. In <strong>2004</strong> the proportion <strong>of</strong> Plasmodium jalciparum malaria was 40% as<br />

compared to P vivax malaria.<br />

Malaria case load and Pf% trend from 1965<br />

to <strong>2004</strong><br />

YEAR<br />

I·.. POSITIVE - Pf% i<br />

The percentage <strong>of</strong> Pf cases has been constantly above 40% since 1994 reaching the<br />

highest ever in 2002 with 54% and at 40% in <strong>2004</strong>.<br />

Malaria case load contributed by endemic dzongkhags (Fig 2 & 3)<br />

95% <strong>of</strong> the country's malaria case load is contributed by the 5 endemic dzongkhags <strong>of</strong><br />

Sarpang, Samdrup Jongkhar, Samtse, Chukha and Zhemgang. For the first time Samtse<br />

Dzongkhag has contributed maximum number <strong>of</strong> malaria cases <strong>of</strong> the country's<br />

caseload in <strong>2004</strong>. Malaria situation shows improvement in the last few years in all the<br />

dzongkhags.

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