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 Yet progress against the mosquito-borne infection remains fragile
and West African countries suffering an unprecedented epidemic of
Ebola are particularly at risk of seeing a resurgence of malaria,
the United Nations health agency said.
In its annual report on the disease, the WHO said the malaria death
rate fell by 47 percent worldwide between 2000 and 2013 and by 54
percent in Africa, where about 90 percent of all malaria deaths
occur.
In an analysis of malaria's impact across sub-Saharan Africa, it
also found that despite a 43 percent increase in population, fewer
people in the region are infected every year.
Some 44 percent of people at risk from malaria in Sub-Saharan Africa
used mosquito nets in 2013, compared to just 2 percent in 2004. And
an expected 214 million nets will be delivered there by the end of
2014.
"The massive scale-up of mosquito control measures, diagnostic
testing and quality-assured treatment has helped to dramatically
reduce the global disease burden," said Pedro Alonso, director of
the WHO's global malaria program.
"With sustained political commitment, increased financing, and with
the help of innovative new tools, we should be able to accelerate
efforts even further.”
EBOLA THREAT
In West Africa, however, the deadly Ebola outbreak has had a
"devastating impact" on malaria treatment and the roll-out of
malaria control programs, the report found.
In Guinea, Sierra Leone and Liberia -- all severely hit by the Ebola
epidemic -- many inpatient clinics are closed and attendance at
outpatient facilities is a fraction of rates seen before the
outbreak, it said.
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With a major malaria threat in these countries, which together saw
some 6.6 million cases and 20,000 malaria deaths in 2013, the WHO
called for temporary control measures, including giving malaria
drugs to all patients with fever and carrying out mass treatment in
areas hard hit by both Ebola and malaria.
"International donor financing is being stepped up to meet the
further recommendation that bed nets be distributed to all (Ebola)
affected areas," the report said.
Worldwide, malaria killed some 584,000 people in 2013, including
some 453,000 children under five years old. Although funding to
fight malaria has increased threefold since 2005, it is still only
around half the $5.1 billion needed.
(Editing by Gareth Jones and Catherine Evans)
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