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Importance of active case detection in a malaria elimination programme

BACKGROUND: With the aim of eliminating malaria from Sri Lanka by 2014, the Anti-Malaria Campaign of Sri Lanka (AMC) sought the support of Tropical and Environmental Disease and Health Associates Private Limited (TEDHA), a private sector organization. In 2009, TEDHA was assigned 43 government hospit...

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Autores principales: Wickremasinghe, Renu, Fernando, Sumadhya Deepika, Thillekaratne, Janani, Wijeyaratne, Panduka Mahendra, Wickremasinghe, Ananda Rajitha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4042136/
https://www.ncbi.nlm.nih.gov/pubmed/24885972
http://dx.doi.org/10.1186/1475-2875-13-186
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author Wickremasinghe, Renu
Fernando, Sumadhya Deepika
Thillekaratne, Janani
Wijeyaratne, Panduka Mahendra
Wickremasinghe, Ananda Rajitha
author_facet Wickremasinghe, Renu
Fernando, Sumadhya Deepika
Thillekaratne, Janani
Wijeyaratne, Panduka Mahendra
Wickremasinghe, Ananda Rajitha
author_sort Wickremasinghe, Renu
collection PubMed
description BACKGROUND: With the aim of eliminating malaria from Sri Lanka by 2014, the Anti-Malaria Campaign of Sri Lanka (AMC) sought the support of Tropical and Environmental Disease and Health Associates Private Limited (TEDHA), a private sector organization. In 2009, TEDHA was assigned 43 government hospitals in the district of Mannar in the Northern Province and in districts of Trincomalee, Batticaloa and Ampara in the Eastern Province to carry out malaria surveillance to complement the surveillance activities of the AMC. Passive case detection (PCD), activated passive case detection (APCD) and active case detection (ACD) for malaria have been routinely carried out in Sri Lanka. METHODS: The active case detection programme of TEDHA involves screening of populations irrespective of the presence of fever or any other signs or symptoms of malaria to detect infections and residual parasite carriers. ACD is done by TEDHA in a) high risk populations through mobile malaria clinics including armed forces personnel and b) pregnant females who visit antenatal clinics for asymptomatic malaria infections during the first trimester of pregnancy. Populations are selected in consultation with the Regional Malaria Officer of the AMC thus avoiding any overlap with the population screened by the government. RESULTS: TEDHA screened 387,309 individuals in the four districts for malaria by ACD including high risk groups and pregnant women between January 2010 and December 2012. During this period seven individuals were diagnosed with Plasmodium vivax infections and one individual was detected with a mixed infection of P. vivax and Plasmodium falciparum. All eight cases were detected by ACD carried out by mobile malaria clinics among high risk groups in the Mannar district. CONCLUSION: The progress made by Sri Lanka in the malaria elimination drive is largely due to increased surveillance and judicious use of control methods which has resulted in zero indigenous malaria cases being reported since October 2012. ACD played a major role in interrupting malaria transmission in the country.
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spelling pubmed-40421362014-06-04 Importance of active case detection in a malaria elimination programme Wickremasinghe, Renu Fernando, Sumadhya Deepika Thillekaratne, Janani Wijeyaratne, Panduka Mahendra Wickremasinghe, Ananda Rajitha Malar J Research BACKGROUND: With the aim of eliminating malaria from Sri Lanka by 2014, the Anti-Malaria Campaign of Sri Lanka (AMC) sought the support of Tropical and Environmental Disease and Health Associates Private Limited (TEDHA), a private sector organization. In 2009, TEDHA was assigned 43 government hospitals in the district of Mannar in the Northern Province and in districts of Trincomalee, Batticaloa and Ampara in the Eastern Province to carry out malaria surveillance to complement the surveillance activities of the AMC. Passive case detection (PCD), activated passive case detection (APCD) and active case detection (ACD) for malaria have been routinely carried out in Sri Lanka. METHODS: The active case detection programme of TEDHA involves screening of populations irrespective of the presence of fever or any other signs or symptoms of malaria to detect infections and residual parasite carriers. ACD is done by TEDHA in a) high risk populations through mobile malaria clinics including armed forces personnel and b) pregnant females who visit antenatal clinics for asymptomatic malaria infections during the first trimester of pregnancy. Populations are selected in consultation with the Regional Malaria Officer of the AMC thus avoiding any overlap with the population screened by the government. RESULTS: TEDHA screened 387,309 individuals in the four districts for malaria by ACD including high risk groups and pregnant women between January 2010 and December 2012. During this period seven individuals were diagnosed with Plasmodium vivax infections and one individual was detected with a mixed infection of P. vivax and Plasmodium falciparum. All eight cases were detected by ACD carried out by mobile malaria clinics among high risk groups in the Mannar district. CONCLUSION: The progress made by Sri Lanka in the malaria elimination drive is largely due to increased surveillance and judicious use of control methods which has resulted in zero indigenous malaria cases being reported since October 2012. ACD played a major role in interrupting malaria transmission in the country. BioMed Central 2014-05-23 /pmc/articles/PMC4042136/ /pubmed/24885972 http://dx.doi.org/10.1186/1475-2875-13-186 Text en Copyright © 2014 Wickremasinghe et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Wickremasinghe, Renu
Fernando, Sumadhya Deepika
Thillekaratne, Janani
Wijeyaratne, Panduka Mahendra
Wickremasinghe, Ananda Rajitha
Importance of active case detection in a malaria elimination programme
title Importance of active case detection in a malaria elimination programme
title_full Importance of active case detection in a malaria elimination programme
title_fullStr Importance of active case detection in a malaria elimination programme
title_full_unstemmed Importance of active case detection in a malaria elimination programme
title_short Importance of active case detection in a malaria elimination programme
title_sort importance of active case detection in a malaria elimination programme
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4042136/
https://www.ncbi.nlm.nih.gov/pubmed/24885972
http://dx.doi.org/10.1186/1475-2875-13-186
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