Lok Sabha Question No. 751 (UNSTARRED), answered on 2021-07-23
Subject: Making India Malaria Free
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Bhartruhari Mahtab

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK  SABHA UNSTARRED QUESTION NO. 751 TO BE ANSWERED ON 23 RD JULY, 2021

## MAKING INDIA MALARIA FREE

## 751. SHRI BHARTRUHARI MAHTAB:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether WHO has declared China as 'Malaria Free' for eliminating indigenous cases for four years, if so, the details thereof;
- (b) whether the cases in India has significantly declined from 20 million in recent past, if so, the details thereof;
- (c) whether any districts or States have been declared as 'Malaria Free' in our country, if so, the details thereof; and
- (d) whether any measures have been taken and any time line fixed by the Government to make India Malaria Free if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE ( DR. BHARATI PRAVIN P AWAR )

- (a): On 30th June, 2021 WHO declaredChina as Malariafreefor eliminating indigenous cases of malaria.As per WHO reportnumber of malaria cases declined from 30 million (in 1940) to zero indigenous casesduring last 4 years in China.
- (b): India  has  made  substantial  progress  in  reducing  malaria  burden. In  1947,  there  were anestimated  75  million  cases  in  India. Cases  have  declined  significantly  from6.46  million  in 1976 to 0.18 million in 2020 (provisional). The country has achieved a reduction of 84.5% and 83.6 % in malaria morbidity and mortality between 2015 and 2020 (provisional), respectively.

(c)

- So far, no d istrict or State has been declared as 'malaria free in the country.  However, in 2020, total 116 districts in the country have reported 'Zero malaria case' and additional 215 districts reported less than 10 cases in the same year.
- In 2020, total 34 States /UTs and 676 districts have achieved Annual Parasite Incidence (API) less than 1. (API= Total no. of positive malaria cases in a year x 1000 population).
- Ministry of Health and Family Welfare, Govt. of India has instituted awards for Dis States for achieving 'Zero indigenous case status' and maintaining it for three consecutive  years on attaining sub - national  malaria  elimination. Accordingly, Govt. of India has requested States/UTs to submit applications from eligible districts/States

(d ): The Government of India has launched the National Framework for Malaria Eliminatio (NFME), 2016- 2030 to eliminate malaria in India. The goal is to achieve zero indigenous of Malaria in the country by 2027 and get 'malaria free' certification by 2 030.

## The following measures have been taken to make India malaria free:

- Early  diagnosis  and  complete  treatment:  use  of  Rapid  Diagnostic  Test  Kits  and  a -malarials, ASHA incentives for diagnosis & ensuring complete treatment at communit level.
- Case- based surveillance and rapid response.
- Integrated vector management (IVM):
- Indoor residual spray (IRS) - 2 rounds of IRS for vector control in areas with Annual Parasite Incidence >2.
- Long-lasting  insecticidal  nets  (LLINs):  a  total  of  97.7millionLLINs  have  b een distributed to the community residing in high malaria endemic areas (sub centers Annual Parasite Incidence >1).
- Larval source management (LSM)
- Epidemic preparedness and early response.
- Behaviour Change Communication and community mobilization.