11 highest malaria burden countries largely held the line against malaria during the pandemic: India amongst them, says WHO World Malaria Report 2022
~ India showed a decline in malaria deaths in 2021 compared to 2020~
New Delhi, December 8, 2022: The World Health Organization (WHO) has launched the 2022 edition of its an nu al World Malaria Report, emphasizing the cumulative impacts the prolonged pandemic continued to weigh on th e economies and health systems of malaria-endemic countries across the globe. As per the report, there were an estimated 247 million malaria cases recorded in 2021 in 84 malaria endemic countries. However, the rate of incr ease in malaria cases was slower than that observed between 2019-2020, when the spike in the rate was associ ated with the sudden disruptions to health service delivery brought on by the pandemic. The report states that the case incidence remained largely similar in 2020 and 2021. The WHO African Region continued to account f or the largest burden globally with 4 nations in the region responsible for over half of all malaria deaths.
Over the past 2 decades, the WHO South-East Asia Region displayed a reducing trend in both the malaria cases and associated deaths – cases reduced by 76%, from 22.8 million in 2000 to about 5.4 million in 2021. As per the report, the WHO South-East Asia Region accounted for about 2% of the burden of malaria cases globally, out of which, India was responsible for 79% of cases. The death associated with malaria remained largely similar over the past 3 years, with India accounting for 82.4% of all malaria deaths in the WHO South-East Asia Region in 20 21. Positively, India is among the 5 HBHI nations to showcase showed a decline in deaths, although their contr b utions to the malaria burden within HBHI countries is still substantial.
“Following a marked increase in malaria cases and deaths in the first year of the COVID-19 pandemic, malaria-affected countries redoubled their efforts and were able to mitigate the worst impacts of Covid-related disruptions to malaria ser vices,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “We face many challenges, but there are many re asons for hope. By strengthening the response, understanding and mitigating the risks, building resilience and acceler at ing research, there is every reason to dream of a malaria-free future.” The WHO report mentioned the remarkable pr ogress toward malaria elimination; in 2021 there were 84 malaria-endemic countries compared to 108 in 2000.
The report continued to highlight the stark difference between WHO estimates of India’s malaria burden – ap proximately 4.3 million – and official reported figures as per government data – approximately 160,000. Com menting on the same, Mr. Pratik Kumar, Country Director, Malaria No More India stated, “WHO estimates likely differ from official government figures on account of the majority of cases being diagnosed and treated in the private health sector. Identifying and integrating mechanisms to enforce the notifiable status of malaria and include data from private health sector is imminent to assess the true disease burden of our country. Estimating the true disease burden is one of the most fundamental steps that needs to be taken to fulfil our nation’s ambitious goal and achieve our Honorable Prime Minister’s vision of a malaria free country by 2030.”
The report showcased the impact on resources due to the shortfall of the Seventh Replenishment of the Global Fund to Fight AIDS, Tuberculosis and Malaria and emphasized the greater need to maximize efficient, effective, and equitable use of malaria other health system resources globally.
Recommendation for elimination strategies stated in the report included “mass” strategies that can be applied to the entire population of a delimited geographical area, whether it be a village, township, or district; “targeted” strategies applied to people at greater risk of infection than the general population; and “reactive” strategies trig gered in response to individual cases. The report also highlighted that planned urbanization could help in redu cing malaria transmission, owing to which WHO along with United Nations Human Settlements Programme (U N-Habitat) launched the Global framework for the response to malaria in urban areas, targeted at policymakers and relevant stakeholders.
Progress towards malaria elimination is increasing. Despite disruptions during the COVID-19 pandemic, 61.5% of E-2025 countries reporting cases continued making progress towards elimination and reduction of the mala ia burden. Realizing the need to address the disease in the region, Malaria No More India calls organizations and stakeholders to work together to advance innovations to contribute to India’s malaria elimination journey.
About Malaria No More:
Malaria No More (MNM) envisions a world where no one dies from a mosquito bite. To support India’s historic dr ive to eliminate malaria by 2030, MNM India is working with partners at the national level to mobilize the nec es sary political will, funding, and innovation. MNM India’s Strategic Support Unit also works at the state level, prov iding technical management support to the malaria programme in Odisha, once India’s state with the highest bur den of malaria.
