Exercise 5 5 Introduced malaria Situation analysis and

Exercise 5. 5 Introduced malaria. Situation analysis and selection of measures Situation in Drakino village, 2001 -02 by A. E. Beljaev Photo by V. M. Mironova, August 2002

Geographical situation Central Russia Moscow governorate (oblast’) Serpukhov district July-August 2002 Altitude 120 -140 m above sea level 54° 51‘ 40“N 37° 16'56“E

Maps of the area (1&2) it is also desirable to scrutinise a Google map 1 км

House of the case of 17 July

Dead channel of Oka river south from Drakino

Western end of Drakino Riverbed of Protva just in front of the village. The border between the Moscow and Kaluga governorates is following it. Shacks of migrant workers

Map 3 28. 7. 02 17. 7. 02 Legend: cases with dates of detection village shop interregional border dead channel 1 км

An additional case attributed to Drakino retrospectively o After detection of transmission in Drakino, a case of 2001 was revised: n the case lived in Zhulebino, a peripheral district of Moscow city, near a big park of Kuzminsky in which breeding of Anopheles was known; n the case was detected in September 2001; n it was thougt that the case contracted malaria in that park, i. e. belonged to Moscow proper; n it was also known that the case had a summer house in Drakino, and visited it in summer 2001.

Map 4 2001 A B, C 2002

Questions: 1. Epidemiological analysis o Reconstruct the sequence of events in Drakino in 2002, decide which case was the source for which o Classify cases o Reconstruct the sequence of events in 2001 and 2002 (Map 4)

Questions: 2: Selection of measures o o o Larviciding Anti-adult measures Case detection Information, education Other, if indicated