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8 wards of Karnali are at risk of malaria. Out of 718 wards of the province, 8 wards are at risk of malaria. 3 wards of Humla district are at high risk and 5 wards of Mugu and Surkhet are at medium risk.
There are 2, 3 and 4 of Tanjakot Rural Municipality of Humla in the wards with high risk of malaria. Similarly, Khatyad Rural Municipality-8 in Mugu, Soru Rural Municipality-4 and 5 and Virendranagar Municipality-2 and Gurbhakot Municipality-3 in Surkhet, according to the Directorate of Health Services. Shyamlal Acharya, vector control supervisor of the
directorate, informed that the malaria found in Humla was of a local species and all others were imported. According to him, 410 wards are at low risk of malaria, while no case of malaria has been reported in 298 wards.
There are 38 cases of malaria in the current financial year in Karnali. Acharya said that 37 of them came from India and one was a local type of malaria. He said that the province could not be freed from malaria after the local species of Humla became ill.
The risk of local malaria is stronger than imported malaria, he said. Supervisor Acharya said that most of the people from Karnali go to India to work and get sick from there, so imported malaria is more common here. Out of the total 38 malaria cases seen in the current financial year, there are four in Dailekh, two in Humla, three in Kalikot and 29 in Surkhet. In the previous financial year, 37 cases of malaria were found in Karnali.
The directorate has informed that work has been started by making a malaria strategic plan to fulfill the goal of making Nepal malaria-free by the year 2030. Arrangements for malaria testing have been arranged in all health institutions, malaria treatment methods have been increased, microscopy centers for testing have been increased in each municipality and the municipalities will be free of malaria during this period.
Supervisor Acharya said that the number of Karnali residents coming to Karnali from India has increased due to the fact that they have been tested and involved in treatment.
Lately, malaria patients have been seen in hilly and mountainous districts due to the arrival of mosquitoes. He said, "There has been difficulty in searching and spraying pesticides." It has not been possible to manage according to the demand from the local level for spraying pesticides. As malaria is not a priority among healthcare workers, testing has decreased. Even at the local level, malaria has not been prioritized.'
He said that the criteria for determining the risk areas for spraying and spraying pesticides have not been reviewed and external grants and financial support are decreasing, so the challenge in getting rid of malaria has been added. According to
Acharya, there are plans to make malaria detection more active, increase the efficiency of health workers, focus on programs targeting at-risk communities, and keep necessary test materials and medicines in health institutions regularly.
