New Delhi: The World Malaria Report (WMR) 2020 released by WHO, which gives the estimated cases for malaria across the world, based on mathematical projections, indicates that India has made considerable progress in reducing its malaria burden. India is the only high endemic country that has reported a decline of 17.6% in 2019 as compared to 2018. The Annual Parasitic Incidence (API) reduced by 27.6% in 2018 compared to 2017 and by 18.4% in 2019 as compared to 2018. India has sustained API less than one since the year 2012.
India has also contributed to the largest drop in cases region-wide, from approximately 20 million to about 6 million. The percentage drop in the malaria cases was 71.8% and deaths was 73.9% between 2000 to 2019.
India achieved a reduction of 83.34% in malaria morbidity and 92% in malaria mortality between the year 2000 (20,31,790 cases, 932 deaths) and 2019 (3,38,494 cases, 77 deaths), thereby achieving Goal 6 of the Millennium Development Goals (50-75% decrease in case incidence between 2000 and 2019).
Figure 1: Epidemiological trends of Malaria in India (2000-2019) Pv; Plasmodium Vivax & pf; Plasmodium Falciparum
A decrease in the incidence of Malaria cases is also exhibited in the year-on-year tally. The cases and fatalities have declined significantly by 21.27% and 20% in the year 2019 (3,38,494 cases, 77 deaths) as compared to 2018 (4,29,928 cases, 96 deaths). The total number of malaria cases reported in 2020, till October, (1,57,284) has further decreased by 45.02 percent as compared to the corresponding period of 2019 (2,86,091).
Malaria Elimination efforts were initiated in the country in 2015 and were intensified after the launch of the National Framework for Malaria Elimination (NFME) in 2016 by the Ministry of Health and Family Welfare. National Strategic Plan for Malaria Elimination (2017-22) was launched by the Health Ministry in July, 2017 which laid down strategies for the next five years.
Figure 2: Epidemiological situation of Malaria in India (2015 – 2019)