Table 1 Micro-stratification of malaria epidemiology
Item | Category | |||
|---|---|---|---|---|
'Stable transmission' | 'Unstable transmission' | 'Sporadic transmission' | 'Malaria prone' | |
Categorization criteria | String of 6 or more months with continu-ous transmission in the period 2007-09 | String of 2-5 months with continuous transmission in the period 2007-09 | At least one indigenous case in the period 2005-09 | No indigenous case in the period 2005-09 |
Number of barangays: | Â | Â | Â | Â |
Cagayan Province | 15 | 77 | 164 | 565 |
Isabela Province | 6 | 26 | 58 | 745 |
Objective | Malaria control | Pre-elimination | Elimination | Maintenance |
Strategy: | Â | Â | Â | Â |
Clinical surveillance | Passive Case Detection (PCD) | Active Case Detection (monthly); PCD | Mass blood survey (annually); case investigation; PCD | Case investigation; PCD |
Diagnosis and treatment | Microscopy, Rapid Diagnostic Testing (RDT); treatment of confirmed cases | Microscopy, RDT; treatment of confirmed cases | Microscopy; treatment of confirmed cases | Microscopy; treatment of confirmed cases |
Long-lasting insecticidal nets (LLIN) | 100% coverage of households | 100% coverage of households | 100% coverage of households | Only in case of epidemic |
Indoor residual spraying | When LLIN gives no improvement after 1 year | Only in case of epidemic or displaced populations | Only in case of epidemic or displaced populations | Only in case of epidemic |
Environmental management | Where appropriate | Where appropriate | Where appropriate | Where appropriate |
Social mobilization | Health promotion | Health promotion | Health promotion | Health promotion |