*MALARIA EPIDEMICS DETECTION AND CONTROL FORECASTING AND PREVENTION* J.A. Nájera, R.L. Kouznetsov and C. Delacollette Distr.: LIMITED WHO/MAL/98.1084 ORIGINAL: ENGLISH *TABLE OF CONTENTS* I. GENERAL CHARACTERISTICS OF MALARIA EPIDEMICS 1. Introduction 1.1. Historical background 1.2 Major determinants of malaria epidemics 2. Epidemic Waves and Periodicity 2.1. Epidemic waves of different Plasmodium species 2.2. Epidemic periodicity 3. Classification of Major Epidemic Types 3.1. True epidemics 3.2. Resurgences or failures of control 4. Classification of Epidemic Risk II. EARLY DETECTION AND CONTROL OF EPIDEMICS 5. Recognition and Epidemiological Investigation 5.1. Confirmation and initial assessment 5.2. Epidemiological investigation 6. Control of Epidemic Situations 6.1. General principles of control 6.2. Formulation and implementation of a control plan 6.2.1. Relief operations 6.2.2. Mobilization of resources and logistics 6.2.3. Planning transmission control 7. Disease Management 7.1. Diagnostic and treatment facilities 7.2. Improving the quality of care 7.3. Public information and communication 8. Transmission Control 8.1. Emergency control 8.2. Prevention and control of transmission 8.2.1. Indoor residual spraying 8.2.2. Impregnation of bednets III. EPIDEMIOLOGICAL SURVEILLANCE, FORECASTING AND PREVENTION OF EPIDEMICS 9. Epidemiological Information Systems 9.1. Identification of indicators of epidemic risk 9.2. Field investigations 9.3. Geographical information systems 10. Risk Detection and Forecasting 10.1. Monitoring of morbidity and mortality 10.2. The spleen rate as an indicator of herd immunity 10.3. Monitoring entomological variables 10.4. Monitoring meteorological variables 10.5. Monitoring socioeconomic variables 10.6. Comprehensive monitoring of epidemic risk 11. Emergency Preparedness and Epidemic Prevention 11.1 Preventive measures ANNEX Back to Table of Contents