Risintha Premaratne a and Dr Ben Rolfe b
a Director, Anti Malaria Campaign, Ministry of Health
b Executive Secretary – Asia Pacific Leaders Malaria Alliance
Cold Chain Management
during MR Vaccination
Asia Pacific 2030 Elimination
Experience from Sri Lanka
Malaria incidence in Sri Lanka, 1911-2015 (to date)
Cleaning of channels
Filling of small pools
Application of mineral oils
Use of larvivorous fish
DDT Scaled down
Spray teams disbanded
7 January 2016
Malaria in Sri Lanka - why
• Better application of control strategies?
• Research inputs ?
• More evidence based approach to control?
• Stability, improved administration?
• Social and economic advancement of people?
• Natural causes ?
- environmental change?
- change in species complex of An.culicifacies?
Sustaining disease control when the
incidence is low
• Allocation of health budgets
• Skills and competencies
Did GFATM funds help to prevent a
7 January 2016
2001 2002 2003 2004 2005 2006 2007
7.25 mi USD
3.69 mi USD
Malaria in Sri Lanka
There is a risk of Resurgence
• High Receptivity:
– Suitable temperature and humidity. Breeding places: paddy
cultivation, irrigation wells, quarry pits, sand pools
• High Vulnerability:
– Migration, development projects need malaria impact assessment.
– Unstable, seasonal malaria, prone to explosive epidemic.
– Increasing inward migration, tourism etc.
A foreign policy issue…
Challenges to malaria elimination
Imported malaria is increasing
Armed Force personnel acquiring infections while on
UN peace-keeping missions
Deported Sri Lankans from malaria-endemic countries
Irregular / “illegal” migrants
Travelers (local & foreign) to & from malaria-endemic
Rare disease events leading to malaria
becoming a “forgotten” disease
Risintha Premaratne * Anti Malaria Campaign
Ministry of Health
An impressive response
Ongoing effort is required,
with significant positive
Ensure all diagnosed cases are treated as per
national treatment guidelines
Sustain case investigation and response
Ensure outbreak preparedness, prevention and
Engaging the private sector in case
management and surveillance
Work with neighbors on case importation
Cluster of vivax malaria among asylum seekers
Over 1000 immigrants screened
23 cases identified and Regular screening continues