Malaria Figures

• 3.3 billion people at risk of malaria in 2006• 1.2 billion at high risk (>1 case/1000

population) mainly in the WHO African (49%) and South East Asia Region (37%)

• Estimated 247 million episodes of malaria in 2006

• 80% of cases in Africa are from 13 countries• Estimated 881,000 malaria deaths in 2006

Malaria Control

Targets of 80% coverage for 4 key interventions:1) Insecticide treated bed nets (ITNs) for people at risk2) Appropriate anti-malarial drugs for patients with

probable and confirmed malaria3) Indoor residual spraying of insecticide for

households at risk4) Intermittent preventive treatment in pregnancy

UNDP Statement on Malaria

• ‘Malaria control efforts are paying off, but additional effort is needed.’

TuberculosisTarget 6c: Halt and begin to reverse the incidence of

malaria and other major diseases

• 6.9 Incidence, prevalence and death rates associated with tuberculosis

• 6.10 Proportion of tuberculosis cases detected and cured under directly observed treatment short course (DOTS)

0

50

100

150

200

250

300

350

400

19901992

19941996

19982000

20022004

2006

Case

s pe

r 100

,000

pop

ulati

on

Africa

South-East Asia

WORLD

Western Pacific

EasternMediterranean

Europe

Americas

Cases in millions

02468

10

19901994

19982002

2006

Incidence rates stable or falling slowly

9.15

Mortality

0

5

10

15

20

25

30

35

1990 1995 2000 2005 2010 2015

Dea

ths

per 1

00,0

00 p

opul

ation

Prevalence

0

50

100

150

200

250

300

350

1990 1995 2000 2005 2010 2015

Case

s pe

r 100

,000

pop

ulati

onTB prevalence and mortality

Falling… but need to fall faster to reach targets

Total deaths from TB in 2006 = 1.65 million

Target = 148 Target = 14

Ethiopia3%

Kenya10%

Malawi5%

Mozambique4%Nigeria

6%

South Africa29%

Zambia3%

Zimbabwe4%

AFR*10%

DR Congo3%

Côte d'Ivoire2%

UR Tanzania3%

Swaziland1%

Uganda2%

Others15%

Brazil

AMR*

Russian Federatn

EUR*

India

SEAR*

WPR

EMR

0

5

10

15

20

Geographical distribution of

HIV-positive TB cases, 2006

For each country or region, the number of incident TB cases arising in people with HIV is shown as a percentage of the global total of such cases. AFR* is all countries in the WHO African Region except those shown separately; AMR* excludes Brazil; EUR* excludes the Russian Federation; SEAR* excludes India.

UNDP Statements on Tuberculosis

• The incidence of tuberculosis is leveling off globally, but the number of new cases is still rising

• Reaching global targets for tuberculosis control will require accelerated progress, especially in sub-Saharan Africa and the CIS

Tanzania – progress MDG6

• HIV cases detected 1990: 5.5 ; 2000: 9.4; 2005: 6.8; 2015: <5.5 On track

• Number of malaria cases and incidences (cases per 100,000) 2000: 500,000; 2005: 65,745; 2015:18,062 On track

• Number of tuberculosis cases and incidences (cases per 100,000)1990:188; 2005: 479 (No further information)

Issues intrinsic to MDG 6 and prospects

Difficulties/Problems

1. Inappropriate targets eg ART roll out2. Inappropriate indicators3. Lack of cohesion and focus within and

between communicable disease programmes eg how to communicate and report results.

4. Lack of links and cohesion with other MDGs. (some with MDG1)