WHO declares the country free of the disease. In the mid-20th century, it was among the most malaria-affected countries
In a remarkable public health achievement, Sri Lanka has been certified by the World Health Organization (WHO) as having eliminated malaria, a life-threatening disease which had long-affected the island country.
The announcement of Sri Lanka’s victory over malaria was made at the WHO South-East Asia Region’s annual Regional Committee meeting in the presence of health ministers and senior health officials from all 11 member states.
“Sri Lanka’s achievement is truly remarkable. In the mid-20th century, it was among the most malaria-affected countries, but now it is malaria-free. This is testament to the courage and vision of its leaders, and signifies the great leaps that can be made when targeted action is taken. It also demonstrates the importance of grass-roots community engagement and a whole-of-society approach when it comes to making dramatic public health gains,” WHO Regional Director, Poonam Khetrapal Singh, said in a statement.
In its press statement, WHO noted that Sri Lanka’s road to malaria elimination was tough, and demanded well-calibrated, responsive policies. After malaria cases soared in the 1970s and 80s, in the 1990s, the country’s anti-malaria campaign adjusted its strategy to intensively target the parasite in addition to targeting the mosquito.
The change in strategy was unorthodox, but highly effective. Mobile malaria clinics in high transmission areas meant that prompt and effective treatment could reduce the parasite reservoir and the possibility of further transmission. Effective surveillance, community engagement and health education, meanwhile, enhanced the ability of authorities to respond, and mobilised popular support for the campaign.
The adaptation/ flexibility of strategies and support from support agencies fast-tracked success. By 2006, the country recorded less than 1,000 cases of malaria per year, and since October 2012, the indigenous cases were down to zero. For the past three-and-a-half years, no locally transmitted cases have been recorded.
To maintain elimination and ensure the parasite is not reintroduced to the country, the anti-malaria campaign is working closely with local authorities and international partners to maintain surveillance and response capacity and to screen high-risk populations entering the country.
Sri Lanka is the second country in the WHO South-East Asia Region to eliminate malaria after the Maldives.
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