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History of the Campaign

History of Anti Malaria Campaign - Sri Lanka

Key milestones are shown below. (Click the relevant year or title to expand)

1911

First Antimalaria Center

First Antimalaria Center in Kurunegala

The first antimalaria center in the country was set up at the town of Kurunegala in Sri Lanka (known as Ceylon before mid-1972).

1913

Incrimination of vector Anopheles culicifacies

S.P. James and S.T. Gunasekera first incriminated the mosquito Anopheles culicifacies as the vector of malaria in the country.

1921

Appointment of first malariologist

First malariologist

Henry F. Carter was appointed as the first malariologist in the country. Until his retirement in the 1950s. Carter made an enormous contribution to malariology in the country. vector-control measures started in 1921 and consisted mainly of draining, filling, clearing and oiling of actual and potential breeding places and the introduction of larvivorous fish

1934/35

A devastating malaria epidemic

Devastating epidemic

The epidemic is the greatest pestilence in the recorded history of the island. It destroyed 80,000 live in seven months. violence of the epidemic was extreme; scarcely a single individual escaped. The havoc caused by the epidemic was not limited to the sickness and death. The epidemic in short was a catastrophe of the first magnitude...

1946

Introduction of DDT

Introduction of DDT

With the introduction of DDT in 1946, malaria morbidity and mortality declined steadily. In 1955, the World Health Organization (WHO) declared the goal of global eradication of malaria with a four-phase program: preparatory, attack, consolidation, and maintenance

1958

Malaria eradication programme launched

With a declining trend in malaria transmission in Sri Lanka in the 1950s, which was in most part due to the use of indoor residual spraying of DDT, the adoption of an eradication programme was seen as a natural continuation of earlier efforts...

1963

Near eradication achieved

In 1963, parasite incidence reached a remarkably low-point with only 17 cases of malaria, which included only six indigenous cases (rest were imported). Given the favorable indicators, in April, 1963, spraying was halted throughout the country except for barrier spraying around jungle areas...

1967/68

Resurgence of malaria leads to a national epidemic

With elimination around the corner, Sri Lankan government authorities became complacent and made a disastrous mistake. Continuous vigilance was not maintained and control measures were reduced...

1969

DDT resistance in An.culicifacies first detected

1975

Introduction of malathion

1984

Chloroquine-resistant P.falciparum first detected

1989

Activities of Antimalaria campaign is decentralized

Decentralization

The Anti-Malaria Campaign (AMC) Directorate in Colombo guides and coordinates all malaria control activities. Under the purview of the AMC is formulation of national malaria control policy, monitoring national malaria trends, technical guidance to subnational malaria control programmes...

1992

Widespread Malathion resistance in An. culicifacies detected

1994

Introduction of Lambda Cyhalothrin

1996-7

Shift in IRS strategy to targeted spray (High risk areas)

1998

World Bank project commenced

1999

RBM initiative Launched

However, in 1999, with the support of the Roll Back Malaria Partnership, the Sri Lankan government began to reinforce control measures, and managed to successfully reduce the occurrence of malaria by 68% in 2000-2001 alone...

2003

Global Fund Support begins

2007

ACT introduced

2012

Last indigenous case of malaria

When the armed conflict ended in 2009, the Malaria Elimination Project, aiming for elimination by 2014, was launched the same year. In 2011, only 175 cases were reported, a decrease of 99.9% from the 1999 level... The last indigenous case of malaria was reported in October 2012.

2016

WHO Certification for having eliminated Malaria

Sri Lanka was declared malaria-free on 5 September 2016 by the World Health Organization. This success was the result of over a century of efforts that combined disease surveillance, vector control and treatment...