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Malaria elimination using the 1-3-7 approach: lessons from Sampov Loun, Cambodia.
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- Author(s): Kheang ST;Kheang ST; Sovannaroth S; Sovannaroth S; Barat LM; Barat LM; Dysoley L; Dysoley L; Kapella BK; Kapella BK; Po L; Po L; Nguon S; Nguon S; Gimnig J; Gimnig J; Slot R; Slot R; Samphornarann T; Samphornarann T; Meng SK; Meng SK; Dissanayake G; Dissanayake G; AlMossawi HJ; AlMossawi HJ; Longacre C; Longacre C; Kak N; Kak N
- Source:
BMC public health [BMC Public Health] 2020 Apr 22; Vol. 20 (1), pp. 544. Date of Electronic Publication: 2020 Apr 22.- Publication Type:
Evaluation Study; Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
- Publication Information: Original Publication: London : BioMed Central, [2001-
- Subject Terms: Malaria, Falciparum*/diagnosis ; Malaria, Falciparum*/epidemiology ; Malaria, Falciparum*/therapy ; Population Surveillance*; Disease Eradication/*methods; Cambodia/epidemiology ; Disclosure ; Family Characteristics ; Female ; Health Education ; Humans ; Incidence ; Insecticide-Treated Bednets ; Insecticides ; Malaria/epidemiology ; Malaria/therapy ; Mass Screening ; Microscopy ; Treatment Outcome
- Abstract: Background: Cambodia has targeted malaria elimination within its territory by 2025 and is developing a model elimination package of strategies and interventions designed to achieve this goal.
Methods: Cambodia adopted a simplified 1-3-7 surveillance model in the Sampov Loun operational health district in western Cambodia beginning in July 2015. The 1-3-7 approach targets reporting of confirmed cases within one day, investigation of specific cases within three days, and targeted control measures to prevent further transmission within seven days. In Sampov Loun, response measures included reactive case detection (testing of co-travelers, household contacts and family members, and surrounding households with suspected malaria cases), and provision of health education, and insecticide-treated nets. Day 28 follow up microscopy was conducted for all confirmed P. falciparum and P. falciparum-mixed-species malaria cases to assess treatment efficacy.
Results: The number of confirmed malaria cases in the district fell from 519 in 2015 to 181 in 2017, and the annual parasite incidence (API) in the district fell from 3.21 per 1000 population to 1.06 per 1000 population. The last locally transmitted case of malaria in Sampov Loun was identified in March 2016. In response to the 408 index cases identified, 1377 contacts were screened, resulting in the identification of 14 positive cases. All positive cases occurred among index case co-travelers.
Conclusion: The experience of the 1-3-7 approach in Sampov Loun indicates that the basic essential malaria elimination package can be feasibly implemented at the operational district level to achieve the goal of malaria elimination in Cambodia and has provided essential information that has led to the refinement of this package. - References: J Infect Dis. 2019 Aug 9;220(6):1034-1043. (PMID: 31028393)
Trop Med Health. 2018 Apr 13;46:11. (PMID: 29686526)
Infect Dis Poverty. 2016 Oct 5;5(1):94. (PMID: 27716398)
Malar J. 2014 Sep 19;13:371. (PMID: 25233886)
Malar J. 2017 Jan 31;16(1):54. (PMID: 28137293)
Malar J. 2015 Jun 20;14:252. (PMID: 26088924)
Glob Health Sci Pract. 2018 Jun 29;6(2):384-389. (PMID: 29875157)
Am J Trop Med Hyg. 2016 Oct 5;95(4):806-810. (PMID: 27527626)
Infect Dis Poverty. 2019 Jan 8;8(1):4. (PMID: 30646954)
Infect Dis Poverty. 2015 Dec 10;4:55. (PMID: 26654106)
Malar J. 2016 Feb 06;15:67. (PMID: 26852118) - Grant Information: AID-486-A-12-00001 PMI/USAID
- Contributed Indexing: Keywords: 1-3-7 approach; Malaria; Malaria elimination; Surveillance
- Accession Number: 0 (Insecticides)
- Publication Date: Date Created: 20200424 Date Completed: 20200909 Latest Revision: 20200909
- Publication Date: 20240105
- Accession Number: PMC7178947
- Accession Number: 10.1186/s12889-020-08634-4
- Accession Number: 32321475
- Source:
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