E- 20 20 C ou nt ry B rie f COMOROS Comoros has witnessed a sharp decline in its malaria burden in recent years: this archipelago off the south-east coast of Africa reported nearly 1100 indigenous cases in 2016, down from over 53 000 in 2013. Over the same period, deaths dropped from 53 to one. Yet, in 2017, Comoros noted a significant increase in malaria transmission with more than 3200 indigenous cases reported and three deaths. The significant increase in 2017 signals the volatility of fighting malaria in an elimination country, as well as the fragility of gains. Nonetheless, the strong progress experienced in Comoros was made possible through a concerted approach that involved a mass anti-malarial treatment campaign, distribution of long-lasting insecticidal nets, and implementation of indoor-residual spraying. In the wake of the successful phase of malaria interventions, the national programme was reoriented towards reaching elimination status by 2020. While the government of Comoros had envisaged zero indigenous cases in 2017, the overall downward trajectory in infections in recent years bodes well for its malaria-free ambitions. 3230 indigenous malaria cases in 2017 / imported malaria cases in 2017 3 malaria deaths in 2017 E- 20 20 C ou nt ry B rie f MALARIA IMPACT number of indigenous malaria cases 2010-2017 GETTING BACK ON COURSE Comoros will need to: Update the national malaria strategic plan to articulate Comoros’ elimination roadmap as well as the steps needed to achieve interruption of transmission and prevention of re-establishment of the disease. Strengthen and ensure political commitment for elimination remains high. As malaria burden decreases, leaders may be inclined to shift attention and resources to other public health issues. Achieving elimination requires full backing across all levels of government, civil society and other key partners. Finalize and implement a malaria case-based surveillance system and bolster the technical and programmatic capacities of staff in detecting and responding to outbreaks. Forge strategic partnerships across different sectors – including the private sector – to strengthen elimination efforts. Build community support for eliminating malaria and participation in elimination activities; this includes increased use of long-lasting insecticidal nets. COMOROS Populations at greater risk: Inhabitants of Grande Comore (Ngazidja) and Mohéli (Ndzuwani) Dominant malaria species: Plasmodium falciparum (100%) Number of areas (foci) with active malaria transmission: throughout Grand Comore Number of people at risk of malaria in these areas: More than 316 000 AT A GLANCE 0 10000 20000 30000 40000 50000 60000 20172016201520142013201220112010 3230106613002203 53 156 49 840 24 856 36 538 Source: World malaria report 2018 WHO/CDS/GMP/2018.11/Comoros – © WHO 2018. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO licence. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement.
E- 20 20 C ou nt ry B rie f COMOROS Comoros has witnessed a sharp decline in its malaria burden in recent years: this archipelago off the south-east coast of Africa reported nearly 1100 indigenous cases in 2016, down from over 53 000 in 2013. Over the same period, deaths dropped from 53 to one. Yet, in 2017, Comoros noted a significant increase in malaria transmission with nearly 5000 indigenous cases reported and three deaths. The significant increase in 2017 signals the volatility of fighting malaria in an elimination country, as well as the fragility of gains. Nonetheless, the strong progress experienced in Comoros was made possible through a concerted approach that involved a mass anti-malarial treatment campaign, distribution of long-lasting insecticidal nets, and implementation of indoor-residual spraying. In the wake of the successful phase of malaria interventions, the national programme was reoriented towards reaching elimination status by 2020. While the government of Comoros had envisaged zero indigenous cases in 2017, the overall downward trajectory in infections in recent years bodes well for its malaria-free ambitions. 4852 indigenous malaria cases in 2017 41 imported malaria cases in 2017 3 malaria deaths in 2017 e-2020-com-eng.indd 1 29/5/2018 19:22 E- 20 20 C ou nt ry B rie f MALARIA IMPACT number of indigenous malaria cases 2010-2017 geTTIng bACk On COURSe Comoros will need to: Update the national malaria strategic plan to articulate Comoros’ elimination roadmap as well as the steps needed to achieve interruption of transmission and prevention of re-establishment of the disease. Strengthen and ensure political commitment for elimination remains high. As malaria burden decreases, leaders may be inclined to shift attention and resources to other public health issues. Achieving elimination requires full backing across all levels of government, civil society and other key partners. Finalize and implement a malaria case-based surveillance system and bolster the technical and programmatic capacities of staff in detecting and responding to outbreaks. Forge strategic partnerships across different sectors – including the private sector – to strengthen elimination efforts. build community support for eliminating malaria and participation in elimination activities; this includes increased use of long-lasting insecticidal nets. COMOROS Dominant malaria species: Plasmodium falciparum (100%) Populations at greater risk: Inhabitants of grande Comore (ngazidja) and Mohéli (Mwali) Number of areas (foci) with active malaria transmission: throughout grand Comore Number of people at risk of malaria in these areas: More than 316 000 AT A gLAnCe 0 10 000 20 000 30 000 40 000 50 000 60 000 20172016201520142013201220112010 4852 106613002203 53 156 49 840 24 856 36 538 Preliminary data for 2017 (Source: national malaria control programme reports); final figures will be published in the World malaria report 2018 WHO/CDS/GMP/2018.11/Comoros – © WHO 2018. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO licence. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. e-2020-com-eng.indd 2 29/5/2018 19:22
E- 20 20 C ou nt ry B rie f COMOROS Comoros has witnessed a sharp decline in its malaria burden in recent years: this archipelago off the south-east coast of Africa reported nearly 1100 indigenous cases in 2016, down from over 53 000 in 2013. Over the same period, deaths dropped from 53 to one. Yet, in 2017, Comoros noted a significant increase in malaria transmission with nearly 5000 indigenous cases reported and three deaths. The significant increase in 2017 signals the volatility of fighting malaria in an elimination country, as well as the fragility of gains. Nonetheless, the strong progress experienced in Comoros was made possible through a concerted approach that involved a mass anti-malarial treatment campaign, distribution of long-lasting insecticidal nets, and implementation of indoor-residual spraying. In the wake of the successful phase of malaria interventions, the national programme was reoriented towards reaching elimination status by 2020. While the government of Comoros had envisaged zero indigenous cases in 2017, the overall downward trajectory in infections in recent years bodes well for its malaria-free ambitions. 4852 indigenous malaria cases in 2017 41 imported malaria cases in 2017 3 malaria deaths in 2017 e-2020-com-eng.indd 1 29/5/2018 19:22 E- 20 20 C ou nt ry B rie f MALARIA IMPACT number of indigenous malaria cases 2010-2017 geTTIng bACk On COURSe Comoros will need to: Update the national malaria strategic plan to articulate Comoros’ elimination roadmap as well as the steps needed to achieve interruption of transmission and prevention of re-establishment of the disease. Strengthen and ensure political commitment for elimination remains high. As malaria burden decreases, leaders may be inclined to shift attention and resources to other public health issues. Achieving elimination requires full backing across all levels of government, civil society and other key partners. Finalize and implement a malaria case-based surveillance system and bolster the technical and programmatic capacities of staff in detecting and responding to outbreaks. Forge strategic partnerships across different sectors – including the private sector – to strengthen elimination efforts. build community support for eliminating malaria and participation in elimination activities; this includes increased use of long-lasting insecticidal nets. COMOROS Dominant malaria species: Plasmodium falciparum (100%) Populations at greater risk: Inhabitants of grande Comore (ngazidja) and Mohéli (Mwali) Number of areas (foci) with active malaria transmission: throughout grand Comore Number of people at risk of malaria in these areas: More than 316 000 AT A gLAnCe 0 10 000 20 000 30 000 40 000 50 000 60 000 20172016201520142013201220112010 4852 106613002203 53 156 49 840 24 856 36 538 Preliminary data for 2017 (Source: national malaria control programme reports); final figures will be published in the World malaria report 2018 WHO/CDS/GMP/2018.11/Comoros – © WHO 2018. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO licence. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. e-2020-com-eng.indd 2 29/5/2018 19:22