Malaria incidence drops to 194 from 40,000 Health Given the reduction in malaria incidence in the last 17 years, Bhutan is targeting to eliminate malaria cases by 2016.
Dr Thinley Yangzom said adult males were most at-risk as the group being economically productive, move out more than women and children.
Among the 20 dzongkhags, malaria is endemic only in the seven border districts as the transmission is perennial which means the climate is favourable for malaria transmission throughout the year. These districts share their borders with Indian states of Assam and West Bengal and have a population of 284,512, which is 42 percent of the population. Bhutan was successful in containing malaria despite the challenges of a difficult terrain with landslides blocking roads during monsoon, poor road access for 21 percent of households and an influx of migrant labour from India, where malaria is endemic, the report stated. Malaria risk areas are mainly forest and forest-fringe human settlements, in particular those with irrigation or development projects, such as hydropower project sites. According to the report, 24 percent of the population lives in areas considered free of malaria, located in four districts in the north-east and central parts of the country. These areas are not receptive to malaria transmission because of their high elevation and cooler temperatures. Sarpang dzongkhag, which borders Assam recorded most of the imported cases every year from 2000 to 2010 and the highest number of indigenous cases in seven out of 10 years (2000–03, 2005, 2008–10). Over the last decade, the dzongkhag has contributed an average of 88 percent of imported cases and an average of 47 percent of indigenous cases in Bhutan.
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