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Table of Contents   
LETTER TO THE EDITOR  
Year : 2017  |  Volume : 10  |  Issue : 4  |  Page : 1062
Malaria in Iran: Is the elimination phase?


Department of Medical Microbiology and Virology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

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Date of Web Publication5-Oct-2017
 

How to cite this article:
Kafil HS. Malaria in Iran: Is the elimination phase?. Ann Trop Med Public Health 2017;10:1062

How to cite this URL:
Kafil HS. Malaria in Iran: Is the elimination phase?. Ann Trop Med Public Health [serial online] 2017 [cited 2019 Sep 19];10:1062. Available from: http://www.atmph.org/text.asp?2017/10/4/1062/196621


Dear Editor,

Malaria is considered to be the most prevalent vector borne disease worldwide and is currently endemic in 97 countries.[1] Although malaria was eradicated or eliminated in northern and central parts of Iran, there is still one of the most prevalent endemic diseases in the south, and especially southeastern Iran. In 2010, more than 90% of malaria cases were reported in the southeastern region of Iran in three provinces Hormozgan, Kerman, and Sistan and Baluchistan, which are near border with Pakistan and Afghanistan and these three provinces still considered as endemic areas for malaria.[2] Nearly, all malaria transmission occurs in the southeastern areas of the country near its borders with Afghanistan and Pakistan, and transmission peaks in the summer months of August and September.[3]

Malaria since 2009, Iran, with 10 other countries entered the malaria pre-elimination program with the technical support from the World Health Organization.[4] There was evidence of steady decrease in the number of malaria cases in Iran, which was accompanied by extensive realization of malaria control objectives between years 2009 and 2011.[5] According to the report of Iranian Ministry of Health and Medical Education, the annual number of malaria cases have been reduced from 12,294 in 2000 to 787 in 2012, 366 cases in 2014 and only 150 cases report in 2015, indicating the sharp decline of disease, and now approaching the ultimate goal of disease elimination, which has led World Health Organization to categorize Iran in the elimination phase.[6]

Malaria incidence had significant reduction during last years in Iran, but still there are challenges, because cross-border movement of population from malaria-endemic countries particularly Pakistan and Afghanistan, the expansion of local transmission, especially in areas affected by border travelling is very worrying and is poses a serious challenge for achieving malaria elimination in Iran.[7]

Therefore, despite the reduction of malaria cases in recent years, the risk of reintroduction is high and need continued cross-border collaborations with endemic neighbors. Iran is developing the necessary strategies to reach elimination malaria.

Acknowledgement

None.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Soleimani-Ahmadi M, Vatandoost H, Zare M, Alizadeh A, Salehi M. Community knowledge and practices regarding malaria and   Back to cited text no. 1
    
2.
long-lasting insecticidal nets during malaria elimination programme in an endemic area in Iran. Malaria J 2014;13:1-7.  Back to cited text no. 2
    
3.
Edrissian G. Malaria in Iran: Past and present situation. Iran J Parasitol 2006;1:1-14.  Back to cited text no. 3
    
4.
Chen LH, Wilson ME, Schlagenhauf P. Prevention of malaria in long-term travelers. JAMA 2006;296:2234-44.  Back to cited text no. 4
    
5.
Cohen J, Smith D, Vallely A, Taleo G, Sabot O. Shrinking the Malaria map: A prospectus on malaria elimination. Global Health Group, Global Health Sciences, University of California, San Francisco, CA; 2009.  Back to cited text no. 5
    
6.
World Health Organization. World Malaria Report 2011. Geneva, Switzerland: World Health Organization Press; 2011. Available from: http://www.ir.undp.org/content/iran/en/home/presscenter/articles/2015/05/06/-iran-is-now-in-the-pre-elimination-phase-to-defeat-malaria-says-un-resident-coordinator.html.  Back to cited text no. 6
    
7.
Sargolzaie N, Salehi M, Kiani M, Sakeni M, Hasanzehi A. Malaria epidemiology in Sistan and Balouchestan province during April 2008–March 2011, Iran. Zahedan J Res Med Sci 2014;16:41-3.  Back to cited text no. 7
    

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Correspondence Address:
Hossein Samadi Kafil
Drug Applied Research Center, Faculty of Medical Sciences Tabriz University of Medical Sciences, Tabriz
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.196621

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