EVALUATION REPORT; MALARIA ERADICATION PROGRAM; HAITI

THE POTENTIAL OF TRANSMISSION IN RURAL AREAS HAS NOT CHANGED SINCE THE YEARS PRIOR TO THE BEGINNING OF THE PROGRAM BECAUSE THE ECOLOGICAL CONDITIONS ARE THE SAME BOTH WITH REGARD TO THE VECTOR AND TO THE HOST. IF THE PRESENT ATTACK MEASURES WERE NOT CARRIED OUT, THE INCIDENCE OF 3 OUT OF 1,000 INHABITANTS IN 1971 COULD EASILY REACH, IN MANY AREAS, 700 PER 1,000 AS IT HAD BEEN PREVIOUSLY. DATA INDICATE THE NECESSITY OF A CAREFUL EPIDEMIOLOGICAL STUDY IN ORDER TO DETERMINE (1) THE NUMBER AND TIMING OF SPRAYING CYCLES REQUIRED IN DIFFERENT AREAS, AND (2) THE (SUPPLEMENTARY) ATTACK MEASURES TO BE USED IN THE AREAS WHERE TRANSMISSION CONTINUES IN SPITE OF (1). DRUGS ARE USEFUL AS AN ADDITIONAL ATTACK-MEASURE,GIVEN AS PRESUMPTIVE TREATMENT, RADICAL CURE, FOR THE ELIMINATION OF ACTIVE ISOLATED FOCI, AND UNDER SPECIAL CIRCUMSTANCES, AS MASS DRUG ADMINISTRATION. THE EVALUATORS MADE 25 RECOMMENDATIONS INCLUDING THAT SPECIAL STUDIES SHOULD BE CONTINUED AND EXPANDED IN ORDER TO DETERMINE THE PRECISE REASONS FOR PERSISTENT TRANSMISSION.