Transcript Malaria Figures - London International Development Centre

Malaria Figures
• 3.3 billion people at risk of malaria in 2006
• 1.2 billion at high risk (>1 case/1000
population) mainly in the WHO African (49%)
and South East Asia Region (37%)
• Estimated 247 million episodes of malaria in
2006
• 80% of cases in Africa are from 13 countries
• Estimated 881,000 malaria deaths in 2006
Malaria Control
Targets of 80% coverage for 4 key interventions:
1) Insecticide treated bed nets (ITNs) for people at risk
2) Appropriate anti-malarial drugs for patients with
probable and confirmed malaria
3) Indoor residual spraying of insecticide for
households at risk
4) Intermittent preventive treatment in pregnancy
UNDP Statement on Malaria
• ‘Malaria control efforts are paying off,
but additional effort is needed.’
Tuberculosis
Target 6c: Halt and begin to reverse the incidence of
malaria and other major diseases
• 6.9 Incidence, prevalence and death rates associated
with tuberculosis
• 6.10 Proportion of tuberculosis cases detected and
cured under directly observed treatment short
course (DOTS)
Incidence rates stable or falling slowly
400
Cases per 100,000 population
350
300
250
200
10
8
6
4
2
0
Cases in millions
9.15
Africa
South-East Asia
WORLD
Western Pacific
150
100
Eastern
Mediterranean
Europe
50
Americas
0
TB prevalence and mortality
Prevalence
350
35
30
Deaths per 100,000 population
Cases per 100,000 population
300
250
200
150
100
Mortality
Target = 148
50
25
20
15
Target = 14
10
5
Total deaths from TB in
2006 = 1.65 million
0
0
1990
1995
2000
2005
2010
2015
1990
1995
Falling… but need to fall faster to reach targets
2000
2005
2010
2015
Geographical distribution of
HIV-positive TB cases, 2006
AFR*
10%
Others
15%
Zim babw e
4%
20
15
EMR
Côte d'Ivoire
2%
Zam bia
UR Tanzania 3%
DR Congo
3%
Ethiopia
3%
3%
Uganda
2%
Sw aziland
1%
Kenya
10%
WPR
10
SEAR*
India
5
Russian
Federatn
EUR*
AMR*
Brazil
Malaw i
5%
South Africa
29%
0
Mozam bique
4%
Nigeria
6%
For each country or region, the number of incident TB cases
arising in people with HIV is shown as a percentage of the
global total of such cases. AFR* is all countries in the WHO
African Region except those shown separately; AMR* excludes
Brazil; EUR* excludes the Russian Federation; SEAR* excludes
India.
UNDP Statements on Tuberculosis
• The incidence of tuberculosis is leveling off
globally, but the number of new cases is still
rising
• Reaching global targets for tuberculosis
control will require accelerated progress,
especially in sub-Saharan Africa and the CIS
Tanzania – progress MDG6
• HIV cases detected 1990: 5.5 ; 2000: 9.4;
2005: 6.8; 2015: <5.5
On track
• Number of malaria cases and incidences
(cases per 100,000) 2000: 500,000; 2005:
65,745; 2015:18,062
On track
• Number of tuberculosis cases and incidences
(cases per 100,000)1990:188;
2005: 479
(No further information)
Issues intrinsic to MDG 6 and
prospects
Difficulties/Problems
1. Inappropriate targets eg ART roll out
2. Inappropriate indicators
3. Lack of cohesion and focus within and
between communicable disease
programmes eg how to communicate and
report results.
4. Lack of links and cohesion with other MDGs.
(some with MDG1)