Re-established malaria transmission is defined as the occurrence of three or more indigenous malaria cases of the same species per year in the same focus for three consecutive years (from WHO). A reliable malaria surveillance system, a comprehensive response and targeted prevention program must be in place until malaria is eradicated worldwide. Preparing for a possible outbreak after elimination requires:
- Thorough management of vulnerability and receptivity,
- A strong health system covering hard to reach communities with integrated malaria surveillance system,
- Strong political commitment to ensure sustained adequate funding and visibility for Malaria Elimination programme,
- Clear understanding and constant measuring of the risks of malaria transmission/re-establishment specifically areas of low receptivity, surveillance of cross-border population movement, and importation of parasites (from WHO),
- Continued comprehensive case-based management and follow up of all detected malaria cases with a strong malaria surveillance system to monitor malaria trends and real-time response,
- Engaged multi-sectoral collaboration in both health and non-health sectors including active involvement of private sector to improve malaria surveillance and case management.
- Inter-countries coordination and collaboration for the prevention of malaria re-introduction that eventually be imported from neighboring endemic countries.