addressing a range of transmission intensity 10 10.10.01 0.0010 transmission intensity (measured as...
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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
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