Foreword by Dr. Keith Carter, PAHO Regional Advisor on Malaria
There have been many challenges in the development and consolidation of this Regional Strategic Plan for Malaria which focuses on the 2006–2010 period. It takes into account the need for continuous efforts to achieve specific goals as well as the reduction of the burden on human health and the negative social and economic effects of the disease among the most affected population groups. Nevertheless, there is consensus that
Strategies must be of optimum relevance to the realities of the malaria situation in the region and among its member territories.
Strategies must be supported by the best available evidence and should be in the best possible alignment with and responsiveness to the specificities in the different levels of work—global, regional, subregional, and national.
Strategies must be designed according to objectives and expected results that are specific, measurable, achievable, relevant, and time-bound.
Despite numerous impediments, the task is successfully completed through the selfless contribution of various partners and colleagues in the region. This document provides a synthesis of what PAHO commits itself to focus on in the next five years and beyond; and a framework for countries and other stakeholders to consider in their work to combat malaria in the endemic areas as well as to prevent its reintroduction in countries where it has been eliminated.
As valuable as it may seem, it must be emphasized that only one part of the task is accomplished. Of equal importance, if not more, is the second part of the challenge—the need for an unwavering resolve to implement the plan.
The hemisphere can only become malaria-free when persons at risk have access to malaria diagnosis, appropriate treatment, interventions to prevent malaria transmission, and sufficient health service coverage. These conditions can only be achieved if strategies are coupled with concrete actions and an enduring commitment.
Together with all PAHO member states, we will scale up in our mission to combat and triumph over malaria.
Graphs and Tables
Figure 1: Population of the Americas according to Level of Transmission Risk, 1998–2004 (in thousands)
Figure 2: Malaria in the Americas by Parasite Species, 1959–2004: Number of Cases
Figure 3: Malaria Morbidity in the Americas, 1998–2004: Number of Positive Blood Slides
Figure 4: Malaria Mortality in the Americas, 1998–2004: Number of Deaths
Figure 5: Malaria Morbidity in the Americas by Subregion, 1998–2004: Number of Positive Blood Slides
Figure 6: Malaria Mortality in the Americas by Subregion, 1998–2004: Number of Deaths
Figure 7: Americas: Passive vs. Active Case Detection, 1998–2004: (% of Blood Slides Examined)
Figure 8: Antimalarial Drugs Used in the Americas, 1998–2004
Figure 9: Malaria Cases and Expenditure in the Americas, 2000–2004
Figure 10: Malaria Cases and Expenditure per capita at Risk in the Americas, 2000–2004
Table 1: Percent change in number of cases reported, 2000 vs. 2004: By Country
Table 2: Mosquito Vectors of Malaria by Country
Table 3: WHO's Challenges to Health vis-à-vis PAHO's Malaria Plan Programmatic Adjustments