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Malaria Elimination Country Case Study 1: Achieving elimination in Turkmenistan

October 11, 2012 - 19:41 -- The Global Heal...

Many countries are nearing — or have already achieved — malaria elimination, as documented by a new series of case studies by The Global Health Group at the University of California, San Francisco and the World Health Organization (WHO) Global Malaria Programme. Having worked in collaboration with ministries of health in affected countries, the two organizations highlight new evidence about what works — and what does not — for reaching and sustaining zero malaria transmission.

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William Jobin's picture
Submitted by William Jobin on

In Turkmenistan, the primary vector control method since 2005 has been larvivorous fish, to give them protection from re-infestation, now that they have dropped the number of cases to zero. From Feacham’s case study:.... “According to national reporting, there has been no IRS
since 2005 (18, 19) as there have been no more cases or
active foci in the country. The use of larvivorous fish,
however, has continued. Turkmenistan has extensive
experience with larviciding (44) and uses several species
of larvivorous fish, especially Gambusia affinis, in water
basins, including rice fields (Table 13). In high-risk Mary
province, a large area is targeted and totally covered;
coverage in Dashoguz, which includes the Amu Darya
delta, needs improvement. At national level, more than
99% of areas targeted for larval control were treated by
fish; the use of oil was minimal. No chemical larvicides
were used after the first malaria elimination in 1961
(18, 19).”.......

The question of screening of houses versus use of treated bednets is probably no longer an issue. Apparently the availability of electricity and the increase in living standards would be sufficient.

“In recent years, living standards in Turkmenistan have
improved. Better housing and the use of air-conditioning
(by about 50% of households, even in the villages)
may have contributed to the reduction in the country’s
malaria risk.”.....

So maybe we should not look to Turkmenistan for guidance on how to control malaria in Africa.

William Jobin Director of Blue Nile Associates