Addressing a Range of Transmission Intensity

10 1 0.1 0.01 0.001 0

Transmission Intensity (measured as EIR)

Infections/ 1000/year 10,000 1000 100 10 1 0

Parasite Prevalence 2-9yr olds

30-60% 10-30% 1-10% <2% <0.3% 0

Health Facility* cases/week 150-300 20-40 5-15 1-5 <1 0

* Health facility is assumed to serve ~5000 population and may include community health workers; numbers indicate confirmed malaria cases and include the notion that as infection rates are lower, an increasing proportion of infections become symptomatic.

High Medium Low Very Low End Game Zero

Steps to Accelerate to Elimination: Steps A-to-E

Parasite Prevalence 30-60% 10-30% 1-10% <2% <0.3% 0Health Facility* cases/week

150-300 20-40 5-15 1-5 <1 0

R a n g e o f Tr a n s m i s s i o n I n t e n s i t y

ELIMINATEDOCUMENT and MAINTAIN ZERO

Steps to Accelerate to Elimination: Steps A-to-E

Parasite Prevalence 30-60% 10-30% 1-10% <2% <0.3% 0Health Facility* cases/week

150-300 20-40 5-15 1-5 <1 0

R a n g e o f Tr a n s m i s s i o n I n t e n s i t y

ELIMINATEDOCUMENT and MAINTAIN ZERO

ACCELERATE SCALE UPfor Impact OPTIMIZE PREVENTION and

CASE MANAGEMENT

Steps to Accelerate to Elimination: Steps A-to-E

Parasite Prevalence 30-60% 10-30% 1-10% <2% <0.3% 0Health Facility* cases/week

150-300 20-40 5-15 1-5 <1 0

R a n g e o f Tr a n s m i s s i o n I n t e n s i t y

ELIMINATEDOCUMENT and MAINTAIN ZERO

ACCELERATE SCALE UPfor Impact OPTIMIZE PREVENTION and

CASE MANAGEMENT

BUILD INFORMATIONSystems for Action QUALITY and TIMELY

REPORTING of INFECTIONS

Steps to Accelerate to Elimination: Steps A-to-E

Parasite Prevalence 30-60% 10-30% 1-10% <2% <0.3% 0Health Facility* cases/week

150-300 20-40 5-15 1-5 <1 0

R a n g e o f Tr a n s m i s s i o n I n t e n s i t y

ELIMINATEDOCUMENT and MAINTAIN ZERO

ACCELERATE SCALE UPfor Impact OPTIMIZE PREVENTION and

CASE MANAGEMENT

BUILD INFORMATIONSystems for Action QUALITY and TIMELY

REPORTING of INFECTIONS

COMMUNITY CLEARANCE of Malaria Parasites POPULATION-WIDE STRATEGIES

to REDUCE TRANSMISSION

Steps to Accelerate to Elimination: Steps A-to-E

Parasite Prevalence 30-60% 10-30% 1-10% <2% <0.3% 0Health Facility* cases/week

150-300 20-40 5-15 1-5 <1 0

R a n g e o f Tr a n s m i s s i o n I n t e n s i t y

ELIMINATEDOCUMENT and MAINTAIN ZERO

ACCELERATE SCALE UPfor Impact OPTIMIZE PREVENTION and

CASE MANAGEMENT

BUILD INFORMATIONSystems for Action QUALITY and TIMELY

REPORTING of INFECTIONS

COMMUNITY CLEARANCE of Malaria Parasites POPULATION-WIDE STRATEGIES

to REDUCE TRANSMISSION

DETECT & INVESTIGATE Individual Cases HOUSEHOLD and NEIGHBORHOOD

STRATEGIES to STOP TRANSMISSION

Steps to Accelerate to Elimination: Steps A-to-E

Parasite Prevalence 30-60% 10-30% 1-10% <2% <0.3% 0Health Facility* cases/week

150-300 20-40 5-15 1-5 <1 0

R a n g e o f Tr a n s m i s s i o n I n t e n s i t y

ELIMINATEDOCUMENT and MAINTAIN ZERO

ACCELERATE SCALE UPfor Impact OPTIMIZE PREVENTION and

CASE MANAGEMENT

BUILD INFORMATIONSystems for Action QUALITY and TIMELY

REPORTING of INFECTIONS

COMMUNITY CLEARANCE of Malaria Parasites POPULATION-WIDE STRATEGIES

to REDUCE TRANSMISSION

DETECT & INVESTIGATE Individual Cases HOUSEHOLD and NEIGHBORHOOD

STRATEGIES to STOP TRANSMISSION

Steps to Accelerate to Elimination: Steps A-to-E

Parasite Prevalence 30-60% 10-30% 1-10% <2% <0.3% 0Health Facility* cases/week

150-300 20-40 5-15 1-5 <1 0

R a n g e o f Tr a n s m i s s i o n I n t e n s i t y

ELIMINATEDOCUMENT and MAINTAIN ZERO

DETECT & INVESTIGATE Individual Cases HOUSEHOLD and NEIGHBORHOOD

STRATEGIES to STOP TRANSMISSION

COMMUNITY CLEARANCE of Malaria Parasites POPULATION-WIDE STRATEGIES

to REDUCE TRANSMISSION

BUILD INFORMATIONSystems for Action QUALITY and TIMELY

REPORTING of INFECTIONS

ACCELERATE SCALE UPfor Impact OPTIMIZE PREVENTION and

CASE MANAGEMENT