actions of the malwest project for malaria · actions of the malwest project for malaria christos...
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Actions of the MALWEST project for malaria
Christos Hadjichristodoulou Professor of Hygiene and Epidemiology Medical Faculty, University of Thessaly
24 – 25 February 2014, Athens, Final Workshop of MALWEST project
Integrated surveillance and control programme for West Nile Virus and malaria in Greece (MIS 365280)
Co-funded by the European Union
MALWEST project
• “Integrated surveillance and control programme for West Nile virus and malaria in Greece”
• National Strategic Reference Framework 2007-2013
• Co-funded by Greece and the EU through the Greek Ministry of Health
• Duration: 01/01/2012 – 31/12/2013 o Extension: 31/12/2014 for two actions (survey on mosquito trap and malaria
surveillance in Regional Unit of Lakonia)
• Aim development of an Integrated Control programme related to WNV(surveillance for human cases, mosquito surveillance, avian surveillance, and equine surveillance) and malaria (surveillance for human cases, mosquito surveillance).
MALWEST Partners • Coordination:
– Department of Hygiene and Epidemiology, Medical Faculty, University of Thessaly
• Collaborating partners:
– Hellenic Center for Disease Control and Prevention
– National School of Public Health
– Laboratory of Microbiology, Medical School, National and Kapodistrian University of Athens
– Arboviruses Reference Laboratory, Aristotle University of Thessaloniki
– Laboratory of Entomology and Agricultural Zoology, Department of Agriculture Crop Production, University of Thessaly
– Pesticides Chemical Control, Benaki Phytopathological Institute
– Faculty of Veterinary Medicine, University of Thessaly
– Laboratory of Microbiology and Infectious Diseases, School of Veterinary Medicine, Aristotle University of Thessaloniki
– Regional Public Health Laboratory of Crete
– Laboratory of Genetics, Evolutionary and Comparative Biology, Department of Biochemistry and Biotechnology, University of Thessaly
– Laboratory for Spatial Analysis, GIS and Thematic Cartography, Department of Planning and Regional Development, School of Engineering, University of Thessaly
– Laboratory of Biochemistry and Applied Biology, Department of Biology, University of Crete
General objectives regarding malaria
• Detection and mapping of plasmodium activity
• Assessment of malaria impact on public health
• Detection of high risk geographical areas
• Prediction of spreading of the disease
• Implementation and assessment of appropriate interventions
Actions of MALWEST programme for malaria according to Work Packages (WP)
WP1: Coordination of the project, dissemination of the results
• Kick-off meeting: 26-27 January 2012
• Stratification of Greece in four risk levels for malaria (0, 1, 2, 3)
• 12 working group meetings (http://www.malwest.gr/el-
gr/%CF%80%CF%81%CE%B1%CE%BA%CF%84%CE%B9%CE%BA%CE%AC%CF%83%CF%85%CE%BD%CE%B1%CE%BD%CF%84%CE%AE%CF%83%CE%B5%CF%89%CE%BD.aspx)
• 4 progress reports per activity per leader (one every 6 months)
• Evaluation reports (interim and final)
• Web portal (www.malwest.gr) – MALWEST project information and progress
– Useful information for healthcare professionals and the public
– Malaria e-learning platform for health professionals
– Web-based GIS
WP1: Dissemination of the results – Web portal
Information regarding MALWEST
project
Information regarding
malaria for healthcare
professionals and the public
Malaria e-learning platform
WP1: Modules of e-learning platform
Lesson title 1st lesson
2nd lesson
Interactive powerpoint
presentation for each lesson
Explanatory video
Self-assessment questionnaire for
each lesson
WP1: E-learning platform
WP1: E-learning platform
WP1: E-learning platform
WP1: E-learning platform – Self assessment
WP1: E-learning platform – Self assessment
WP1: Dissemination of the results - GIS
Mapping of the total number of malaria cases, 2011-2012
Anopheles mosquito detection in areas were surveillance took place
WP1: Dissemination of the results - GIS
WP2: State of the art for malaria surveillance and control
• Systematic review of the current knowledge on malaria with an emphasis on Europe and Greece Malaria manual
• Contents:
– Epidemiology of malaria in Europe and Greece
– Re-emergence of malaria
– Clinical manifestations and diagnosis
– Treatment and prevention
– Surveillance and risk assessment
– Mosquito control
WP2: State of the art for malaria surveillance and control
WP3: Study on presence, seasonal variation and spatial distribution of mosquitoes and design of an
Integrated Mosquito Management plan
• National mosquito surveillance 2012
• Focused mosquito surveillance 2013
• Focused surveillance in Lakonia Regional Unit 2012-2013
• Evaluation of insecticide toxicity and mosquito resistance
• Systematic comparison study on mosquito-trap
WP5: Seroepidemiological study for malaria
• Seroprevalence assessment of malaria antibodies in immigrant and Greek population in Evrotas municipality, Lakonia Regional Unit
• Pilot study – 2012
• 248 asymptomatic Greek citizens
• 721 asymptomatic immigrants
• Levels of seropositivity in immigrants differed between ELISA methods
• Decision about mass drug administration
WP6: Enhanced surveillance for human cases
• Focus investigation for every local case
• Active case detection
• Fever screening
– Regular house visits – Evrotas municipality
• Mass screening (RDT, micro, PCR)
– Evrotas municipality (Lakonia Regional Unit)
– Marathon municipality (East Attica Regional Unit)
– Points of entry
• Plasmodium genotyping
WP7: Targeted intervention activities
• Training seminars for laboratory doctors in risk level areas 2 and 3
• Informative lectures for healthcare professionals in risk level areas 2 and 3
• Awareness seminars for the public (priority to high risk areas)
• Awareness raising information material disseminated in public by the HCDCP
Evrotas municipality
Mass drug administration
Bed net distribution
Indoor residual spraying
Thank you for your attention