Case-Based Reactive Response

Whenever a malaria case is confirmed, the AMC initiates a comprehensive reactive response to identify and contain any potential transmission.

Components of the Reactive Response

Case Investigation (within 24 hours)

• A detailed history of travel, exposure, and symptoms is collected by the Regional Malaria Officer or the AMC surveillance team.
• A unique National Malaria Case Number is assigned for centralized tracking.
• A case discussion is held by the technical team and regional malaria officers on the following day to decide on source of infection and to plan the surveillance activities.
• The Case Review Committee (CRC) reviews every case to classify it as imported, introduced, induced, relapse, or recrudescence.

Parasitological Surveillance (within 48 hours)

• Primary screening of household members and nearby residents within a 1 km radius of the patient’s night-stay area if indicated.
• Follow-up secondary screening of household members and nearby residents within a 1 km radius of the patient’s night-stay areas will be conducted after 3–4 weeks.
• Strengthened malaria testing among fever patients in nearby clinics.

Entomological Surveillance (within 48 hours)

• Vector surveillance conducted to assess receptivity and identify Anopheles breeding sites.
• If vector presence is confirmed, vector control interventions (IRS, LLIN distribution, space spraying or larval source management) are completed within 10 days.

Health Education and Community Engagement

• Education for patients, contacts, and the public on early detection, treatment adherence, and prevention measures.
• Coordination with local health teams to raise awareness among high-risk communities.