Malaria in Meghalaya: a systematic literature review and analysis of data from the National Vector-Borne Disease Control Programme

摘要: Meghalaya, one of eight states in the northeastern region India, has been reported to carry a high malaria burden. However, surveillance, epidemiology, and vector studies are sparse, no reviews combining these topics with prevention control strategies have published recent years. Furthermore, analysis surveillance data documenting changes epidemiology following first distribution long-lasting insecticidal nets (LLINs) statewide 2016. A hybrid approach was used describe status Meghalaya. First, literature search performed using terms ‘malaria’ ‘Meghalaya’. Second, were obtained from Meghalaya State Malaria Control Programme for 2006–2017 trends. Data 3 years 2015–2017 analysed further by district year assess incidence introduction LLINs. Like mainland is complex, both Plasmodium falciparum vivax parasites circulation, multiple Anopheles species, reports unusual severe syndromes across all age groups. Integrated vector, not readily available, largely focused on single topic or state. Although approaches (e.g. spraying, LLINs, personal repellents), their use effectiveness also well characterized literature. Analysis state programme indicates that case related fatalities declined over last decade. This could be attributed treatment guidelines and/or effective methods such as Since more than 900,000 LLINs 2016, caseload significantly most districts, excluding remote geographically isolated South Garo Hills. Additionally, proportion adult cases (15+ years versus children 0–14 years) districts greater LLIN distribution, which likely reflects common lifestyle practices areas adults working during night hours; small households receiving priority bed net protection). While reduction deaths clear, transmission clinical manifestation characterized. Routine combined real-time reporting essential continued eventual elimination