MALARIA IN Author COSTA RICA Title of the

. . MALARIA IN Author COSTA RICA: Title of the presentation Pan American Health Organization Time Series Epidemiological Data from 1998 to 2004 Malaria in Costa Rica, 1998– 2004

MALARIA IN COSTA RICA I. The Malaria Burden – Risk of Transmission – Malaria Morbidity – Malaria Mortality – Malariometric Indices (API, AFI, AVI, AMI) II. Trends in Case Detection and Diagnosis – Case Detection: Passive vs. Active Method – Annual Blood Examination Rate (ABER) – Slide Positivity Rate SPR) III. Treatment IV. Resources and Financing Pan American Health Organization Malaria in Costa Rica, 1998– 2004

The Risk of Transmission Pan American Health Organization Malaria in Costa Rica, 1998– 2004 3

COSTA RICA: Population at Risk of Malaria Transmission, 1998– 2004 (in thousands) Pan American Health Organization Malaria in Costa Rica, 1998– 2004

COSTA RICA: Population at Ecological Risk of Malaria Transmission According to Level of Transmission Risk , 1998– 2004 (in thousands) Pan American Health Organization Malaria in Costa Rica, 1998– 2004

Malaria Morbidity Pan American Health Organization Malaria in Costa Rica, 1998– 2004 6

COSTA RICA: Malaria Morbidity, 1998– 2004 (number of positive blood slides) Pan American Health Organization Malaria in Costa Rica, 1998– 2004

COSTA RICA: Malaria Morbidity According to Level of Transmission Risk, 1998– 2004 (number of positive blood slides) Pan American Health Organization Malaria in Costa Rica, 1998– 2004

COSTA RICA: Malaria Morbidity According to Parasite Species (in All Risk Areas), 1998– 2004 Pan American Health Organization Malaria in Costa Rica, 1998– 2004

COSTA RICA: Malaria Morbidity According to Parasite Species (In Moderate and High Areas), 1998– 2004 Pan American Health Organization Malaria in Costa Rica, 1998– 2004

Malaria Mortality Pan American Health Organization Malaria in Costa Rica, 1998– 2004 11

COSTA RICA: Malaria Mortality, 1998– 2004 (number of deaths) Pan American Health Organization Malaria in Costa Rica, 1998– 2004

Malariometric Indices (API, AFI, AVI, AMI) Pan American Health Organization Malaria in Costa Rica, 1998– 2004 13

COSTA RICA: Malariometric Indices (API, AFI, AVI, AMI) in all Risk Areas, 1998– 2004 Pan American Health Organization Malaria in Costa Rica, 1998– 2004

COSTA RICA: Malariometric Indices (API, AFI, AVI, AMI) in Moderate and High Risk Areas, 1998– 2004 Pan American Health Organization Malaria in Costa Rica, 1998– 2004

COSTA RICA: Annual Parasitic Index (API), 1998– 2004 Pan American Health Organization Malaria in Costa Rica, 1998– 2004

COSTA RICA: Annual Index of P. falciparum (AFI), 1998– 2004 Pan American Health Organization Malaria in Costa Rica, 1998– 2004

COSTA RICA: Annual Index of P. vivax (AVI), 1998 – 2004 Pan American Health Organization Malaria in Costa Rica, 1998– 2004

COSTA RICA: Annual Index of P. malariae (AMI), 1998– 2004 Pan American Health Organization Malaria in Costa Rica, 1998– 2004

Trends in Case Detection and Diagnosis Pan American Health Organization Malaria in Costa Rica, 1998– 2004 20

COSTA RICA: Passive vs. Active Case Detection, 1998– 2004 (% of Blood Slides Examined) Pan American Health Organization Malaria in Costa Rica, 1998– 2004

COSTA RICA: Annual Blood Examination Rate (ABER) in Malarious Areas, 1998– 2004 Pan American Health Organization Malaria in Costa Rica, 1998– 2004

COSTA RICA: Slide Positivity Rate (SPR), 1998– 2004 Pan American Health Organization Malaria in Costa Rica, 1998– 2004

Treatment Pan American Health Organization Malaria in Costa Rica, 1998– 2004 24

COSTA RICA: Antimalarial Drugs Used, 1998– 2004 Pan American Health Organization Malaria in Costa Rica, 1998– 2004

Resources and Financing Pan American Health Organization Malaria in Costa Rica, 1998– 2004 26

COSTA RICA: National Budget and Non-Budgetary Contributions to Malaria Control Programs, 1998– 2004 (in US$) Pan American Health Organization Malaria in Costa Rica, 1998– 2004

COSTA RICA: Annual US$ Funds per Person in Malarious Areas, 1998– 2004 Pan American Health Organization Malaria in Costa Rica, 1998– 2004