Tuesday , January 31 2023

Malaria, a disease without eradication


Once bite Anopheles female mosquitoes can infect parasites that cause malaria or malaria. Mosquitoes do not know boundaries or limits. Their females feed their offspring and move from body to body to find blood in a cycle that is very difficult to remove disease. But it is not impossible.

In Panama, malaria is a stalking disease and the most cases are reported in Aboriginal people.

According to the Pan American Health Organization (PAHO), the five most common parasites that infect malaria are Plasmodium vivax and Plasmodium falciparum, the latter of which exacerbate the patient's health,

According to the epidemic records of the Ministry of Health and Welfare (Minsa), there are 48 cases in the same month compared to last year when the cases of people who treated illness by October this year are circulating in tropical countries and tropical and tropical tropical forests. There were 531 people in 2017, but this year it has increased to 579 people.

This latest report shows that Plasmodium vivax has occurred in the Tuira River region of the Darién region of the Guna Yala region, so an increase in people with malaria is expected (La Miel, Puerto Obaldía and Playón Chico) and in the Ngäbe Buglé and Colón regions There is.


Faced with this situation, Minsa and the Gorgas Memorial Institute for Health Studies have embarked on a challenge to eradicate malaria in 2020 as part of the Strategic Plan for the Elimination of Malaria (PEEM). With the PAHO's health authorities and representatives, necessary measures have been proposed to eliminate the cases of PAHO's indigenous peoples.

Among the measures to be taken are an active search for cases, an integrated approach, direction to the community and distribution at home.

In fact, according to epidemiological data, by the end of October, 549 cases of car accidents and 30 cases of imported malaria have been reported. And in 2017 there were 599 cases of automatic evaporation and 31 cases of imports, a total of 630 cases were announced.

In this sense, the Minsa epidemiology department reported that cases of disease persisted in indigenous areas because malaria could not be eliminated.

The main problem they face is linguistic differences between indigenous populations and health officials coming to the region through prevention and control programs.

Epidemiologists showed differences in diagnosis, treatment, research and response in workshops with organizations, which is why PEEM relies on this aspect.

Deputy Health Secretary Eric Ulloa explained that not only is there a fight against mosquitoes and vectors, but that we will not develop. We must actively seek cases where we need to reduce transmission by working with local communities, promoters, and associations, actively seeking cases and treating them promptly.

He added that there are obstacles such as the dispersion of the border area, the unique region of the border region, and the socio-cultural characteristics of the Aboriginal population.

Suggestions and Research

Meanwhile, Icges scientists Nicanor Ovaldi III Endemic focus (improved housing and drainage systems, mosquitoes) by encouraging multidisciplinary approaches involving MINSA with residential departments, Aboriginal ministries and other organizations.

He argued that they are carrying out research hoping to form part of the base to propose the establishment of a molecular epidemiological surveillance system for parasites that are imported or recovered from Panama and Mesoamerica. [desde la península de Yucatán en México, Centroamérica y Panamá].

The researchers pointed out that the proposal would determine the genetic diversity and demographic structure to understand the biological nature of the epidemics or epidemiology of the disease as well as a key factor in the successful implementation of the elimination program.

De Obaldía III is the preliminary result of the study Genetic diversity and population structure of human malaria parasites in Panama They indicate that the parasite of Plasmodium vivax circulating in Panama during 2007-2012 is in a "clonal" phase (genetically or highly cross-linked) indicating low diversity and consequently low infectious disease. These results provide evidence of progress towards elimination.

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