Overview of Guyana’s Malaria Situation

1. Overview of Guyana’s Malaria Situation Dr. Reyaud Rahman

2. About Guyana • officially the Co-operative Republic of Guyana, is a sovereign state on the northern coast of South America. • Guyana is one of the few Caribbean countries that is not an island.

3. Guyana is bordered by Suriname to the east; by Brazil to the south and southwest; by Venezuela to the west; and by the Atlantic Ocean to the north At 215,000 square kilometres (83,000 sq mi)

4. Guyana is divided into 10 regions

5. Vector Bourne Diseases in Guyana2012 • Malaria 31876 • Dengue Fever • Filariasis • Leishmaniasis • Chagas Disease

6. Diagnosis • Gold Standard Malaria Microscopy • RDT in out break situations

7. Malaria in 2012 • P. falciparum 16,694 • P. vivax 11,225 • P. malariae 83 • Mix 3,598 • Active Case Detection 53,464 • Passive Case Detection 143,000

8. data on malaria new cases for the period January to March, 2013, based on reports received Jan-March, 2013, Total Smears taken and examined- 35,281 • Positive new cases – 7,213 • P. falciparum – 3,720 • P. vivax – 2,569 • P. malariae.- 35 • Mix- infections – 889 • Active Case Detection 8,172 • Passive Case Detection 27,109

9. Imported Cases in 2012

10. Pregnancy Infected 2012 • Total Cases seen 312 • Falci 146 • Malariae 1 • Mix 35 • Vivax 130

11. POSITIVE MALARIA NEW CASES BY AGE – GROUPS. • < 1 YEAR- 28 =0.3% • 1-4 YEARS- 196 =3% • 5-14 YEARS- 586 =8% • 15-49 YEARS 5,844 =81% • 50 + YEARS- 559 =8% • TOTAL 7,213

12. New cases by ethnic groups • Afro- Guy- 2952 • Amerindian- 1946 • Chinese – 12 • East Indian- 1037 • Mix Race- 2163 • Others- 3

13. Mining is high investment and high producing sector that generates important foreign exchange earning for the Guyanese Economy • In 2008 the mineral production (Output) G$ 73,113 Billions (18% more than 2007) • Production continues to arise in 2009-2011, by small and medium Scale Guyanese miners continue to be strong. • 2009 the production of Gold surpassed 260,000 in 2008 to 305,000 oz. in 2009, & 2010.

14. Prevention and Control Programs • Active vector Bourne disease work in endemic regions and non endemic regions • Prompt diagnosis and early treatment • Dissemination of IEC material • Creation of school health clubs and Vector Bourne committees

18. Detect early and control, to prevent epidemics • In Vivo studies done every three years to detect any drug resistance • Refresher training courses for Malaria Microscopy • Distribution of LLINs

19. Constraints • In adequate human resource • Dangerous nature of the job e.g Riverain, mountainous, dense rainforest, dangerous criminals. • Non compliance of patients to use full drug dosage • Self medication

30. Needs • Assistance in developing policies and procedures in strengthening our diagnostic capacity. • Quality Assurance programs • M&E officer training • IT personnel with training and the use of Epi info for our MIS

31. Needs • Specialist in Malaria microscopy, Leishmaniasis, Chagas to evaluate and possibly re-train our Microscopist • Entomology training

34. The End Thank You