Al Mukhaini Said K, Mohammed Osama A, Gerbers Sue, Al Awaidy Salah T
Directorate General of Primary Health Care, Ministry of Health, Muscat, Oman.
Directorate General of Surveillance and Communicable Diseases, Ministry of Health, Muscat, Oman.
Oman Med J. 2023 May 31;38(3):e500. doi: 10.5001/omj.2023.50. eCollection 2023 May.
Despite a significant reduction in the global case incidence and mortality of malaria in the past 20 years, malaria continues to wreak havoc on people's health across the globe. Oman is a malaria-free country, meeting the World Health Organization's (WHO) criteria, having no indigenous malaria case documented since 2010, and maintaining that status for three consecutive years. Oman has a national strategy for prevention of re-establishment of malaria and to maintain their malaria-free status. In this paper, we explore Oman's malaria elimination progress and provide recommendations for accelerating and sustaining malaria free status using WHO malaria elimination strategies.
Secondary data from the years 1976 to 2020 was extracted from official sources utilized to assess progress. A review and epidemiological analysis of malaria cases, species classification, and source of infection was conducted. The data and situation were compared to WHO malaria elimination pillars.
The number of malaria cases reported from 1976 to 2020 was 298 070, a decline from 1.6 to 0.1 per 1000 population. Of the 4415 cases reported between 1994-2004, 98.0% were classified as imported and 73.0% of people diagnosed with malaria were 20-34 years old. The number of autochthonous cases began to decline in 1994 from a high of 4415 cases (3.6 per 1000 population) to zero by 2004 with no deaths attributed to autochthonous malaria cases after the year 2000. By 2020, accounted for 86.0% of cases, cases declined to 9.0% and and comprised the remaining 6.0% of case notifications.
Oman achieved malaria elimination status in 2013. To maintain this status, it is essential to adopt a national prevention strategy of re-establishment of malaria and maintain malaria-free status targets.
尽管在过去20年里全球疟疾病例发病率和死亡率大幅下降，但疟疾仍在全球范围内对人们的健康造成严重破坏。阿曼是一个无疟疾国家，符合世界卫生组织（WHO）的标准，自2010年以来没有记录到本土疟疾病例，并连续三年保持这一状态。阿曼有一项预防疟疾重新出现并维持无疟疾状态的国家战略。在本文中，我们探讨了阿曼的疟疾消除进展，并使用WHO疟疾消除战略为加速和维持无疟疾状态提供建议。
从用于评估进展的官方来源提取了1976年至2020年的二手数据。对疟疾病例、物种分类和感染源进行了回顾和流行病学分析。将数据和情况与WHO疟疾消除支柱进行了比较。
1976年至2020年报告的疟疾病例数为298070例，每千人口发病率从1.6例下降到0.1例。在1994 - 2004年报告的4415例病例中，98.0%被归类为输入性病例，73.0%被诊断为疟疾的患者年龄在20 - 34岁之间。本土病例数从1994年的4415例（每千人口3.6例）的高位开始下降，到2004年降至零，2000年后没有本土疟疾病例导致的死亡。到2020年， 占病例的86.0%， 病例降至9.0%， 和 占病例通报的其余6.0%。
阿曼于2013年实现了疟疾消除状态。为维持这一状态，必须采取预防疟疾重新出现的国家战略并维持无疟疾状态目标。
