Sunday, 09 May 2021

India continues to make impressive gains in reduction of malaria burden

02 December 2020 | News

India has sustained Annual Parasitic Incidence (API) of less than one since 2012

Image caption: Epidemiological situation of Malaria in India (2015 – 2019)

Image caption: Epidemiological situation of Malaria in India (2015 – 2019)

The World Malaria Report (WMR) 2020 released by WHO, which gives the estimated cases for malaria across the world, based on mathematical projections, indicates that India has made considerable progress in reducing its malaria burden. India is the only high endemic country that has reported a decline of 17.6% in 2019 as compared to 2018. The Annual Parasitic Incidence (API) reduced by 27.6% in 2018 compared to 2017 and by 18.4% in 2019 as compared to 2018. India has sustained API less than one since year 2012.

India has also contributed to the largest drop in cases region-wide, from approximately 20 million to about 6 million. The percentage drop in the malaria cases was 71.8% and deaths was 73.9% between 2000 to 2019.

India achieved a reduction of 83.34% in malaria morbidity and 92% in malaria mortality between the year 2000 (20,31,790 cases, 932 deaths) and 2019 (3,38,494 cases, 77 deaths), thereby achieving Goal 6 of the Millennium Development Goals (50-75% decrease in case incidence between 2000 and 2019).

Decrease in incidence of Malaria cases is also exhibited in the year-on-year tally. The cases and fatalities have declined significantly by 21.27% and 20% in the year 2019 (3,38,494 cases, 77 deaths) as compared to 2018 (4,29,928 cases, 96 deaths). The total number of malaria cases reported in 2020, till October, (1,57,284) has further decreased by 45.02 percent as compared to corresponding period of 2019 (2,86,091).

States of Odisha, Chhattisgarh, Jharkhand, Meghalaya and Madhya Pradesh disproportionately accounted for nearly 45.47 percent (1,53,909 cases out of India’s 3,38,494 cases) of malaria cases and 70.54 percent (1,10,708 cases out of India’s 1,56,940 cases) of falciparum Malaria cases in 2019.  63.64% (49 out of 77) of malaria deaths were also reported from these states.

Due to the efforts made by the Government of India in provision of microscopes, rapid diagnostics Long Lasting Insecticidal Nets (LLINs) – about 5 crores have been distributed in 7 North-East States, Chhattisgarh, Jharkhand, Madhya Pradesh and Odisha up to 2018-19 and another 2.25 crore LLINs are being supplied/distributed during current financial year to high burden areas leading to reduction in endemicity in these otherwise very high endemic states. Additional procurement of 2.52 crore LLINs is initiated.


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