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Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

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Page 1: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

Ministry of Health & Medical Education Centre for Disease Control & Management

Department of Malaria

Page 2: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

HistoryMalaria and Leishmaniasis are still the most

important parasitic diseases in Iran.Before establishment of malaria control

program ( 1950 ) :

60 % of population of the country were inhabited in malarious area.

4-5 million annual malaria cases were reported

30-40% of deaths were attributed to malaria.

Page 3: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

One third of the annual budget of the Ministry of Health was being allocated for

malaria control .

Current situation of Vector Borne Diseases

15558 Malaria,13941 Cutaneous Leishmaniasis,197 Kala-azar and 95

CCHF cases are reported in 2002.

Page 4: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

High Burden of Vector Borne Diseases in neighboring countries

There are some constrains regarding to V.B.D in Iran that should be addressed :

Socio – economic impact

Infected areas are mainly located in

less developed areas

Variety of vectors

Political instability (crisis) in some neighboring countries

Page 5: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

Current Vector Control PolicyGeneral approach is based on IVMNational strategic plan for malaria control has special focus :

Entomological surveys

1–Evidence based decision making

Page 6: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

Vector control plan of action in peripheral levels

Monitoring of insecticide resistance

Epidemiological data collection

Page 7: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

2–Integrated vector control activities

Resource mobilization , use of all available resources & comprehensive activities to all vector borne diseases

3-Prioritisation

Environmental management Strengthening of personal protection ( through community awareness effort )

Page 8: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

Promotion of using ITN’s

Biological control : • Bacillus thuringiensis H-14 • Larvivorus fish

Page 9: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

Pesticides registration in Iran.

Five Different organizations/ministries based on their responsibilities are involved in application, providing, distributing and using of pesticides .

Page 10: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

1- The Office of Food , Drug and Cosmetic Health care Control of Ministry of Health

2- Veterinary Organization

3-Department of Environmental and Occupational Health, Ministry of Health.

4-Department of Disease Control (DCD), Ministry of Health.

5- Ministry of Agriculture.

Page 11: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

The five above organizations are supervised by a Higher committee at the ministerial level called “Higher Committee on Supervision of PesticideThe committee consists :1) The Minister/representative of Ministry of Health2) Minister of Agriculture3) Ministry of Industry4) Environmental Protection Organization. Any change in pesticide regulation law or any new decision needs to confirm by the Higher Committee.

It should be mention that:

Page 12: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

The Plant Protection Organization has a legislation issued by Higher Committee (HCSP) and approved

by the Parliament.

Page 13: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

1) the representative of School of Public Health (MOH&ME)

2) Representative of Institute of Pest and Agricultural Research (Ministry of Agriculture)

3) Representative of Institute of Nutrition( Ministry of Science& Higher Education)

4) A Senior Expert in pest control, nominated by the Ministry of Agriculture (PPO).

5) The Director General for PPO

The committee members are:

Page 14: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

Registration is through PPO ,there is a pesticide Board on which the MOH has a permanent Rep.&Efficacy study where necessary are carried out by the School of Public Health on behalf of MOH.

The Procedure for Registration of Public Health pesticide

Page 15: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

In first step the compound will be nominated to be tested in the field. The compound will be referred to related research organization for laboratory and field biological tests. The field tests should be carried out in two successive years in two different geographical situations.

Page 16: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

After biological test, the result will be reviewed by the committee. In the case of positive effect of biological tests and reliability of results, the pesticide will be registered for three years.

Page 17: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

After the temporary registration, the pesticide will be put in the list of proposed pesticide for pest control in the country. The information of registered pesticide will also put in a booklet, prepared by PPO, includes short notes on specification and formulation , target pest, toxicity, packaging and chemical properties ... 

Page 18: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

Different group of Pesticides used in agriculture in Iran (year 2002) Pesticide name Pesticide Group Pesticide

type Volume used (tons)

Aluminium phosphide

OP Insecticide+ Rodenticide

54

Amitraz Amidine Insecticide+ Acaricide

700

Etrimfos OP 300 Indoxacarb Oxadiazine Insecticide 30 Bacillus thuringiensis

Biopesticide Biological Insecticide

1

Buprofezin Thiadiazin Insecticide+ Acaricide

10

Pymetrozine Pyridin Insecticide 80 Pyriproxyfen Jevenil Hormon Mimic Insecticide 180 Formothion OP Insecticde 10 Fipronil Phenylpyrazole

Insecticide Insecticide 4

Cartap 2-Dimethylaminopropane-1,3-Dithiol

Insecticide 40

Powder silis Mineral 0 Nacturnallis-L Biological agent 3

Page 19: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

 

Insecticide used for Malaria control in Iran (year 1998) 

Name of Pesticide

Class Group Volume (kg/liter)

Icon PY Adulticide 95554

Propoxur CA Adulticide 4732

Actillic OP Larvicide 770

Reldan OP Larvicide 2067

Abate OP Larvicide 138

Diesel oil& Kerosene

Oil compound Larvicide 341567

Page 20: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

 Insecticide used for Malaria control in Iran (1999)

 

Name of Pesticide

Class Group Volume (kg/liter)

Icon PY Adulticide 17443

Propoxur CA Adulticide 3298

Actillic OP Larvicide 775

Reldan OP Larvicide 1800

Abate OP Larvicide 16

Diesel oil& Kerosene

Oil compound Larvicide 56268

Page 21: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

 

Insecticide used for Malaria control in Iran (2000) 

Name of Pesticide

Class Group Volume (kg/liter)

Icon PY Adulticide 15506

Propoxur CA Adulticide 9

Actillic OP Larvicide 843

Reldan OP Larvicide 2549

Abate OP Larvicide 16

Triton Spreading agent Larvicide 300

Kerosene Oil compound Larvicide 55

Diesel oil Oil compound Larvicide 26490

Page 22: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

 

Insecticide used for Malaria control in Iran (2000) 

Name of Pesticide

Class Group Volume (kg/liter)

Icon PY Adulticide 15506

Propoxur CA Adulticide 9

Actillic OP Larvicide 843

Reldan OP Larvicide 2549

Abate OP Larvicide 16

Triton Spreading agent Larvicide 300

Kerosene Oil compound Larvicide 55

Diesel oil Oil compound Larvicide 26490

Page 23: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

Insecticide used for Malaria control in Iran (2002) 

Name of Pesticide

Class Group Volume (kg/liter)

Icon PY Adulticide 8288

Propoxur CA Adulticide 905

Actilic OP Larvicide 265

Reldan OP Larvicide 2146

Abate OP Larvicide 75

Kerosene Oil compound Larvicide 82

Diesel oil Oil compound Larvicide 15000

Page 24: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria

Insecticide used for Veterinary pests control in Iran (2002)

  

Pesticide name Pesticide Type Group

Azinophos-methyl Insecticide OP

Amitraz Insecticide-Acaricide

Amidin

Propoxur Insecticide Carbamate

Propetamphos Insecticide-Acaricide

OP

Trichlorfon Insecticide OP

Diazinon Insecticide OP

Cyromazin Insecticide Teriazin

Cyhalothrin Insecticide-Acaricide

PY

Cyfluthrin Insecticide-Acaricide

PY

Cypermethrin Insecticide PY

Flumethrin Insecticide-Acaricide

PY

Fosetyl-aluminium (fosim)

Insecticide-Acaricide

OP

deltamethrin Insecticide-Acaricide

PY

Coumaphos Insecticide-Acaricide

OP

Page 25: Ministry of Health & Medical Education Centre for Disease Control & Management Department of Malaria