overview of guyana’s malaria situation dr. reyaud rahman
TRANSCRIPT
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Overview of Guyana’s Malaria Situation
Dr. Reyaud Rahman
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About Guyana
• officially the Co-operative Republic of Guyana, is a sovereign state on the northern coast of South America.
• Guyana is one of the few Caribbean countries that is not an island.
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Guyana is bordered by Suriname to the east; by Brazil to the south and southwest; by Venezuela to the west; and by the
Atlantic Ocean to the northAt 215,000 square kilometres (83,000 sq mi)
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Guyana is divided into 10 regionsNo Region Area km² Population
Populationper km²
1 Barima-Waini 20,339 24,275 1.2
2 Pomeroon-Supenaam 6,195 49,253 8.0
3Essequibo Islands-West Demerara
2,232 103,061 46.2
4 Demerara-Mahaica 1,843 310,320 168.4
5 Mahaica-Berbice 3,755 52,428 14.0
6 East Berbice-Corentyne 36,234 123,695 3.4
7 Cuyuni-Mazaruni 47,213 17,597 0.3
8 Potaro-Siparuni 20,051 10,095 0.5
9 Upper Takutu-Upper Essequibo 57,750 19,387 1.3
10 Upper Demerara-Berbice 19,387 41,112 2.1
Guyana 214,999 751,223 3.49
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Vector Bourne Diseases in Guyana2012
• Malaria 31876
• Dengue Fever
• Filariasis
• Leishmaniasis
• Chagas Disease
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Diagnosis
• Gold Standard Malaria Microscopy
• RDT in out break situations
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Malaria in 2012
• P. falciparum 16,694
• P. vivax 11,225
• P. malariae 83
• Mix 3,598
• Active Case Detection 53,464
• Passive Case Detection 143,000
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data on malaria new cases for the period January to March, 2013, based on reports
received
Jan-March, 2013,
Total Smears taken and examined- 35,281• Positive new cases – 7,213• P. falciparum – 3,720 • P. vivax – 2,569 • P. malariae.- 35 • Mix- infections – 889 • Active Case Detection 8,172• Passive Case Detection 27,109
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Imported Cases in 2012
Foreign imported
positives falciparum vivax malariae Mixed Infections
Brazil 31 20 16 0 0
Venezuela 16 10 6 0 0
Suriname 1 0 1 0 0
Ghana 1 1 0 0 0
St - Martin 1 1 0 0 0
China 1 1 0 0 0
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Pregnancy Infected 2012
• Total Cases seen 312
• Falci 146
• Malariae 1
• Mix 35
• Vivax 130
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POSITIVE MALARIA NEW CASES BY AGE –
GROUPS.• • < 1 YEAR- 28 =0.3% • 1-4 YEARS- 196 =3% • 5-14 YEARS- 586 =8% • 15-49 YEARS 5,844 =81%• 50 + YEARS- 559 =8% • TOTAL 7,213
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New cases by ethnic groups
• Afro- Guy- 2952 • Amerindian- 1946• Chinese – 12 • East Indian- 1037• Mix Race- 2163• Others- 3
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Mining is high investment and high producing sector that generates important foreign exchange earning for the
Guyanese Economy
• In 2008 the mineral production (Output) G$ 73,113 Billions (18% more than 2007)
• Production continues to arise in 2009-2011, by small and medium Scale Guyanese miners continue to be strong.
• 2009 the production of Gold surpassed 260,000 in 2008 to 305,000 oz. in 2009, & 2010.
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Prevention and Control Programs
• Active vector Bourne disease work in endemic regions and non endemic regions
• Prompt diagnosis and early treatment
• Dissemination of IEC material
• Creation of school health clubs and Vector Bourne committees
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• Detect early and control, to prevent
epidemics
• In Vivo studies done every three years to detect any drug resistance
• Refresher training courses for Malaria Microscopy
• Distribution of LLINs
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Constraints
• In adequate human resource
• Dangerous nature of the job e.g Riverain, mountainous, dense rainforest, dangerous criminals.
• Non compliance of patients to use full drug dosage
• Self medication
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Needs
• Assistance in developing policies and procedures in strengthening our diagnostic capacity.
• Quality Assurance programs
• M&E officer training
• IT personnel with training and the use of Epi info for our MIS
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Needs
• Specialist in Malaria microscopy, Leishmaniasis, Chagas to evaluate and possibly re-train our Microscopist
• Entomology training
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The EndThank You