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UPDATE ON MALARIA ELIMINATION IN WHO EUROPEAN REGION Dr Elkhan Gasimov Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland Autochthonous malaria cases in Europe, 1990 - 1996 100000 90712 90000 87403 80000 70000

  1. UPDATE ON MALARIA ELIMINATION IN WHO EUROPEAN REGION Dr Elkhan Gasimov Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  2. Autochthonous malaria cases in Europe, 1990 - 1996 100000 90712 90000 87403 80000 70000 60000 50000 40000 1996 30000 19102 20000 8884 10000 0 1990 1991 1992 1993 1994 1995 1996 Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  3. Autochthonous malaria cases in Europe, 1990 - 2005 100000 90712 90000 80000 75685 70000 1996 60000 50000 37173 40000 19102 30000 20215 20000 8884 10000 5074 0 2005 1990 1992 1994 1996 1998 2000 2002 2004 Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  4. Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  5. Autochthonous malaria cases in Europe, 1990 - 2014 Cases in 2014 Indigenous: 2 (Tajikistan) Introduced: 7 Induced: 1 100000 90712 Congenital: 1 1996 2005 90000 80000 75685 70000 60000 50000 40000 37173 30000 2014 19102 20000 20215 10000 8884 5074 589 251 11 0 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  6. Central Asia, 2014 30000 25000 20000 15000 10000 5000 0 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 KAZAKHSTAN UZBEKISTAN KYRGYZSTAN TAJIKISTAN TURKMENISTAN Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  7. Tajikistan 100000 P.v. P.f. 10000 1000 Cases 100 10 1 Years Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  8. South Caucasus, 2014 GEORGIA 14000 12000 10000 AZERBAIJAN 8000 ARMENIA 6000 4000 AZERBAIJAN 2000 0 2 4 6 8 0 2 4 6 8 0 2 9 9 9 9 0 0 0 0 0 1 1 9 9 9 9 0 0 0 0 0 0 0 1 1 1 1 2 2 2 2 2 2 2 Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  9. Azerbaijan 14000 20.0 Incidence per 10,000 population 12000 17.0 15.0 10000 Number of cases Number of cases 8000 Incidence per 10,000 population 10.0 6000 6.6 4000 5.0 3.7 1.9 2000 0.5 0.1 0.2 0.0 0 0.0 Years Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  10. Turkey, 1992-2014 TURKEY 84321 100000 11381 18665 10000 5252 1000 589 218 166 100 32 10 9 5 4 1 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  11. Greece, 2009 - 2015 120 Imported, all Locally-acquired 100 TOTAL 80 Cases 60 42 40 20 20 7 4 3 1 0 0 2009 2010 2011 2012 2013 2014 2015 Years Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  12. 2015 Tajikistan: 1 case, Khatlon province, registered in January (case of 2014) Georgia: 1 induced case Greece: 1 case, Trikala, Farkadona municipality, Thessaly region, introduced Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  13. Regional Framework Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  14. Overall development Source: http://www.tradingeconomics.com/ Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  15. Azerbaijan: GDP/Malaria incidence 17.0 12.7 6.6 3.7 2.9 0.9 1.3 0.5 0.2 0.2 0.0 Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  16. Political commitment Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  17. Funding Government The Global Fund 14000000 TGF GOV Total 12000000 10000000 8000000 6000000 4000000 2000000 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  18. GOV vs TGF funding (2005-2014) 6,000,000 5000000 5,000,000 4000000 AZE TJK 4,000,000 3000000 3,000,000 2000000 2,000,000 1000000 1,000,000 0 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2,500,000 1,600,000 1,400,000 KRG 2,000,000 UZB 1,200,000 1,000,000 1,500,000 800,000 1,000,000 600,000 400,000 500,000 200,000 0 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  19. Surveillance 2,324,579 2,500,000 -Notifiable disease (urgent 2,112,456 2,178,519 2,091,938 1,959,955 notification) 1,869,184 1,864,593 2,000,000 -ACD and PCD 1,638,407 1,500,000 -Cases are investigated and classified 1,000,000 -Foci are investigated and 500,000 classified -National register of cases 0 2007 2008 2009 2010 2011 2012 2013 2014 -Lab register AZE GEO KRG TJK TUR UZB TOTAL Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  20. Vector control: IRS, 2000-2014 300 250 200 150 100 50 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 AZE GEO KRG TJK UZB 1,081,918 people protected by IRS in 2014 Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  21. Vector control: ITN, 2000-2014 (1,066,107) AZE KRG TJK UZB TOTAL 250000 225,641 200000 165,000 150000 135,000 118,778 85,000 100000 79,637 49,438 49,494 50000 35,150 24,786 26,152 16,799 18,688 25,919 10,625 0 Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  22. Cross-border collaboration: AZE-GEO Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  23. Cross-border collaboration: KAZ-KRG-TJK-UZB Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  24. Cross-border collaboration: TKM-AFG Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  25. Cross-border collaboration: TJK-AFG Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  26. 2004 Georgia Azerbaijan Azerbaijan Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  27. 2005 Georgia Azerbaijan Azerbaijan Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  28. 2006 Georgia Azerbaijan Azerbaijan Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  29. 2007 Georgia Azerbaijan Azerbaijan Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  30. 2008 Georgia Azerbaijan Azerbaijan Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  31. 2009 Georgia Azerbaijan Azerbaijan Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  32. 2010 Georgia Azerbaijan Azerbaijan Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  33. 2011 Georgia 1 Azerbaijan Azerbaijan Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  34. 2012 Georgia 1 Azerbaijan Azerbaijan Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  35. 2013 Georgia Azerbaijan Azerbaijan Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  36. Risk of reintroduction -Tajikistan Border with Afghanistan -Turkey Refugees Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  37. Challenges -Political commitment High Level Consultation on Prevention of Malaria Reintroduction in the WHO European Region, 22-23 February 2016, Ashgabat, Turkmenistan -Funding -Vigilance Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

  38. Thank for attention Malaria Policy Advisory Committee 16-18 September 2015, Geneva, Switzerland

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