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Diagnosis and treatment Early diagnosis and treatment of malaria reduces disease and prevents deaths. It also contributes to reducing malaria transmission. The best available treatment, particularly for P. WHO recommends that all cases of suspected malaria be confirmed using parasite-based diagnostic testing either microscopy or rapid diagnostic test before administering treatment.
Results of parasitological confirmation can be available in 30 minutes or less. Treatment, solely on the basis of symptoms should only be considered when a parasitological diagnosis is not possible.
More detailed recommendations are available in the "WHO Guidelines for the treatment of malaria", third edition, published in April Antimalarial drug resistance Resistance to antimalarial medicines is a recurring problem. Resistance of P. Protecting the efficacy of antimalarial medicines is critical to malaria control and elimination.
Regular monitoring of drug efficacy is needed to inform treatment policies in malaria-endemic countries, and to ensure early detection of, and response to, drug resistance. In , WHO launched the Emergency response to artemisinin resistance ERAR in the Greater Mekong Subregion GMS , a high-level plan of attack to contain the spread of drug-resistant parasites and to provide life-saving tools for all populations at risk of malaria.
But even as this work was under way, additional pockets of resistance emerged independently in new geographic areas of the subregion. In parallel, there were reports of increased resistance to ACT partner drugs in some settings.
A new approach was needed to keep pace with the changing malaria landscape. At the World Health Assembly in May , WHO launched the Strategy for malaria elimination in the greater mekong subregion — , which was endorsed by all the countries in the subregion.
Urging immediate action, the strategy calls for the elimination of all species of human malaria across the region by , with priority action targeted to areas where multidrug resistant malaria has taken root. With technical guidance from WHO, all countries in the region have developed national malaria elimination plans. Latest bulletin of the Mekong Malaria Elimination programme Surveillance Surveillance entails tracking of the disease and programmatic responses, and taking action based on the data received.
Currently, many countries with a high burden of malaria have weak surveillance systems and are not in a position to assess disease distribution and trends, making it difficult to optimize responses and respond to outbreaks.
Effective surveillance is required at all points on the path to malaria elimination. Stronger malaria surveillance systems are urgently needed to enable a timely and effective malaria response in endemic regions, to prevent outbreaks and resurgences, to track progress, and to hold governments and the global malaria community accountable.
In March , WHO released a reference manual on malaria surveillance , monitoring and evaluation. The manual provides information on global surveillance standards and guides countries in their efforts to strengthen surveillance systems.
Elimination Malaria elimination is defined as the interruption of local transmission of a specified malaria parasite species in a defined geographical area as a result of deliberate activities.
Continued measures are required to prevent re-establishment of transmission. Malaria eradication is defined as the permanent reduction to zero of the worldwide incidence of malaria infection caused by human malaria parasites as a result of deliberate activities. Interventions are no longer required once eradication has been achieved.
Countries that have achieved at least 3 consecutive years of 0 local cases of malaria are eligible to apply for the WHO certification of malaria elimination. It acts against P. Adulterio paulo coelho pdf is the best book written for author paulo coelho. Bajo la misma estrella novela.
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For travellers, malaria can be prevented through chemoprophylaxis, which suppresses the blood stage of malaria infections, thereby preventing malaria disease. Shipping cost cannot be calculated. In March , WHO released a reference manual on malaria surveillance , monitoring and evaluation. Treatment, solely on the basis of symptoms should only be considered when a parasitological diagnosis is not possible.
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