*KYRGYZSTAN: Malaria spreads rapidly despite eradication efforts*

11 Apr 2007 11:09:18 GMT
Source: IRIN

ALMATY, 11 April 2007 (IRIN) - ALMATY, 11 April 2007 (IRIN) - Health
officials are keen to stem rising rates of malaria in Kyrgyzstan and
prevent a serious outbreak, the likes of which the country experienced
in 2002. In March, the government launched a campaign ahead of the
May-October malaria season to improve awareness of symptoms of the disease.

"The situation with regard to malaria has more or less stabilised,
although in 2006 it was a bit tense," Nurbolot Usenbayev, manager of the
Control of Malaria in Kyrgyzstan programme, told IRIN from the Kyrgyz
capital, Bishkek, on Monday.

Recently released figures for 2006 show that registered malaria cases
increased by nearly a third to 320, over the 226 cases in 2005,
according to Usenbaev. In 2004, 93 cases were reported and 468 cases
were reported in 2003.

But the 2002 outbreak of malaria saw 2,744 registered cases.

In response to a rise in cases, the Central Asian state has adopted a
national anti-malaria strategy for up to 2010. Usenbayev is upbeat but
cautious about the country's chances of beating the disease.

"One good aspect is that we have received funding to implement this plan
from the Global Fund to Fight Aids, Tuberculosis and Malaria," he told
IRIN from Bishkek on Monday. "I think we will be able to withstand
malaria's pressure this year and we will gradually get the situation
under control."

Global Fund money makes up about 80 percent of the US $3.4 million
anti-malaria programme in Kyrgyzstan, with the remainder financed by the
government and international organisations.

Part of this programme is the government's malaria symptoms awareness
campaign, launched last month. It uses posters, TV and radio slots,
sessions in schools and puppet theatres to spread the message. In
previous years, malaria sufferers have mistaken symptoms for the common
cold and failed to seek treatment, which is free of charge for malaria
sufferers.

As well as medicines, the programme has purchased insecticides, medical
equipment and mosquito nets to step up the fight against the disease. It
also trains health professionals, and has set up two mobile groups to
respond to outbreaks, one in the north and one in the south of the country.

But the fight against malaria still faces challenges. Many problems are
common to a declining healthcare system, such as a brain drain of health
workers, who earn low salaries in Kyrgyzstan, and limited medical
facilities.

Malaria was an endemic disease in Kyrgyzstan in the first half of the
20th century, with up to 200,000 people believed to have malaria in the
1930s, according to specialists. The disease was eradicated in
Kyrgyzstan – then part of the Soviet Union - in the 1950s.

In 1998, Kyrgyzstan saw a resurgence of malaria, linked to population
movements. The country is vulnerable to the disease due to internal and
external migration for seasonal work and a prevalence of breeding
grounds for malaria such as rice fields, swamps and reservoirs.

The World Health Organisation says malaria kills more than a million
people worldwide annually.

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