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Suriname Overview of the Malaria Número De Casos Según Especie Por Municipio

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Suriname Overview of the Malaria Número De Casos Según Especie Por Municipio Report on Situation of Malaria in the Americas, 2008 (Working Document) Suriname Overview of the malaria Número de casos según especie por municipio. 2008 situation Suriname is one of the countries of the region which has reported a large reduction in malaria transmission in recent years. Malaria in Suriname has been historically an issue of prime importance in public health, being one of the countries which presented the highest incidence rates in the Americas and the highest proportions of malaria P. falciparum. In the past five years a significant reduction in transmission has been seen; from 14,403 cases in the year 2003 to 1477 cases in 2008. Suriname has less than half a million inhabitants with the majority living in the coastal areas. The hinterland has areas populated by Amerindians, non- Especie Sum of Casos indigenous “maroons” populations Pf 1 of African descent, and a Pv 10 population of mixed origins 20 (including Brazilian migrants) 30 dedicated to mining activities. 40 There is no malaria transmission 53 on the northern coast of Suriname, where the majority of the population lives. Malaria risk is greatest along the Marowijne River, which borders French Casos por ADM1 Casos a nivel ADM1 Guiana, as well as in areas close to Brokopondo Lake in the northern- ADM1 ADM 1 Pfal+mixtas P. vivax Total casos .. central region where A. darlingi is Sipaliwini 800 633 1,450 .. present. Brokopondo 32 6 38 .. Three main factors can be attributed to the change in the Para 0 .. situation of malaria: the introduction of therapeutic Grand Total 832 639 1,488 0 500 1000 1500 combinations with artemisinin Número de casos derivatives, a monitoring campaign funded by the Global Fund to intensify prevention and early diagnostic activities, and environmental factors (torrential rainstorns with exceptional floods in 2006) that led to changes in the density of vector. Country Chapter- Suriname 1 Report on Situation of Malaria in the Americas, 2008 (Working Document) Número de casos por especie 2000 - 2008 Variaciones interanuales en el número de casos por especie serie año serie año 13,144 2K 11,477 erior 2,496 t 1,725 an 423 10,648 o 184 10K ñ 437 196 261 a 0K 43 9,752 l -444 -378 -355 e -794 casos con e 6,877 -1,883 d -3,392 6,693 -2K casos mer o 5K -4,579 en Nú -4,784 2,298 1,673 -4K 1,111 1,6661,709 733 639838 iferencia D 1,229 915 0K 378415 -6K 2000 2001 2002 2003 2004 2005 2006 2007 2008 2000 2001 2002 2003 2004 2005 2006 2007 2008 serie especie Number of P. Fal.. Number of P. Viv.. Número de casos 2000 - 2008 Diferencia (%) con relación al año 2000 serie año serie año 15,922 23% 8% 14,403 0% 0% 0% 2% 15K casos -8% -27% 13,132 12,806 -45% -34% -56% -62% serie -77% of -50% -35% casos e 10K -37% 8,577 d 8,334 Sum in -100% -78% mer o -92% Nú 5K -96% 3,256 ifference 1,477 -150% 807 0K % D 2000 2001 2002 2003 2004 2005 2006 2007 2008 2000 2001 2002 2003 2004 2005 2006 2007 2008 Número de casos de malaria hospi tal izados Despite the marked improvement in the epidemiological serie año situation, malaria continues to affect the unstable 400 377 population of migrants involved in mining activities; the d.. 323 burden of disease in these groups is not completely casos 217 known. Malaria control in this situation, where migrants e d 200 163 153 act as reservoirs and disseminators of the disease across mer o the country, is the main challenge for the control 50 36 50 Nú 0 program now. 2000 2001 2002 2003 2004 2005 2006 2007 2008 Trends in morbidity and mortality Número de muertes por malaria 2000 - 2008 During the 80's there was an increase in the number of serie año malaria cases consequent to an internal armed conflict. In .. p 24 23 the early 1990s, the increase was caused by the es t 20 18 16 intensification of gold mining and logging activities. The muer outbreaks in 2003 occurred in the south of the country e 10 7 d near the Brazilian border as well as in the eastern 2 1 mer o Marowijne region, which were associated with increased 0 Nú 0 movement of people into gold-mining areas. These activities continue to be the main determinant of 2000 2001 2002 2003 2004 2005 2006 2007 2008 transmission due to displacement of populations in risk areas and the difficulty in ensuring access to health services. Country Chapter- Suriname 2 Report on Situation of Malaria in the Americas, 2008 (Working Document) Número de casos % del total de casos del país Langatabiki 53 17.1% Apoema 39 29.7% Stoelmanseiland 37 41.6% Kawemhakan 33 52.3% Coordinatie Centrum 25 60.3% Gakaba 21 67.1% Agaigoni 16 72.3% Brokopondo 13 76.5% Pelele Tepoe 10 79.7% Brownsweg 9 82.6% Nason 9 85.5% Afobaka 7 87.7% Gonini 7 90.0% Klaaskreek 6 91.9% Cottica 5 93.5% Victoria 5 95.2% Kwamalasamutu 3 96.1% Apoera 2 96.8% Godoro 2 97.4% Pokigron 2 98.1% Drietabiki 1 98.4% Karmel 1 98.7% Lebidoti 1 99.0% Palumeu 1 99.4% Pikien Saron 1 99.7% Sellakreek 1 100.0% Otros 50.0% 100.0% 01020304050 0% 20% 40% 60% 80% 100% Número de casos % acumulado del total de casos Municipios según número de casos de malaria Municipios según número de casos de P. falciparum N casos N casos P. f 51-100 1 11-50 8 11-50 7 6-10 3 6-10 6 1-5 9 1-5 12 Grand Total 26 Grand Total 20 0 5 10 15 20 25 30 0 5 10 15 20 Número de municipios Número de municipios Municipios según Número de casos, IPA y % de P. falciparum IPA 1.3 100 Victoria Brokopondo 50.0 Apoema 100.0 Nason 80 147.3 Agaigoni Cottica Brownsweg 60 Gakaba Langatabiki Gonini f Kawemhakan %P 40 Afobaka 25 20 0 Kwamalasamutu Pelele Tepoe 250 10 15 20 30 40 50 70 100 150 200 300 Total Country Chapter- Suriname 3 Report on Situation of Malaria in the Americas, 2008 (Working Document) Incidencia anual (IPA) por municipio. 2008 Incidencia anual (IPA) y número de casos por municipio Langatabiki 53 38.4 Apoema 39 30.4 Stoelmanseiland 37 9.0 Kawemhakan 33 147.3 Coordinatie Centrum 25 Gakaba 21 14.6 Agaigoni 16 21.4 Brokopondo 13 5.5 Pelele Tepoe 10 18.9 Brownsweg 9 2.3 Nason 9 7.7 Afobaka 7 Gonini 7 8.7 Klaaskreek 6 3.7 Cottica 5 8.3 Victoria 5 10.9 Kwamalasamutu 3 2.9 Apoera 2 1.7 Godoro 2 1.3 Pokigron 2 1.7 Drietabiki 1 0.3 Karmel 1 2.1 Lebidoti 1 0.6 Palumeu 1 3.8 Pikien Saron 1 2.3 Sellakreek 1 Otros 02040600 50 100 150 Número de casos IPA Sum of Casos Sum of IPA 1 0.0 147.3 The reduction in transmission in recent years has been 10 particularly marked for P. falciparum malaria. For the year 20 2008, the reduction of malaria by this species, with respect 30 to 2000, was 92% and for P. vivax was 62%. The number 40 of cases of severe malaria have been reduced from 377 in 53 2003 to only 50 cases hospitalized in 2008. Equally consistent has been the reduction in mortality such that in the last year no malaria attributed deaths have been reported. Población según areas de riesgo de transmisión de malaria Dispersion / focalization Medium Risk Malaria-free High Risk ( API Low Risk ( API serie año ( 1/1000 < API Areas (No > 10/1000 ) < 1/1000 ) The transmission is particularly focused around the < 10/1000 ) Indigenous Tr.. Maroijne river along the border with French Guiana, 2000 19,000 9,000 34,000 355,000 however the number of cases is very low. Lagatabiki, 2001 24,000 22,000 2,000 402,000 with 53 cases, was the district that reported the most 2002 24,000 22,000 2,000 402,000 number cases in 2008 corresponding to 17% of cases in 2003 51,000 0 2,000 397,000 the country. Fifty percent of the cases were from only 2004 51,000 0 2,000 397,000 four districts, all from Maroijne region. The population 2005 51,000 0 2,000 397,000 density is low in Suriname, so despite having very low 2006 46,000 2,000 0 397,000 number of cases malaria incidence continues to be high 2007 46,000 2,000 0 400,000 in respect to other countries. The incidence has reduced 2008 48,000 400,000 significantly compared to levels in the 1990s. In 2008 Suriname reported an incidence rate five times lower than the neighboring countries, Guyana and French Guiana and closer to big countries like Peru and Colombia, which have different epidemiological profile and population patterns. Kawemhakam district in Maroijne, had the highest incidence of malaria in 2008, nearly 150 cases per 1,000 inhabitants, but in general the incidence rate in most Country Chapter- districtsSuriname with the largest number of cases was 4lower to 15 cases per 1,000 Report on Situation of Malaria in the Americas, 2008 (Working Document) The main foci of transmission are related to mining Número de casos según grupos de edad % del total de casos activity. The mining communities have a high OPS edad OPS edad mobility, moving within the country and to <5 <5 neighboring countries and spreading malaria to 5-14 5-14 other communities.
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