Community Medicine (PSM) · Communicable Diseases (Malaria, Tuberculosis, Dengue, Polio, Hepatitis, Cholera)

During a malaria survey in a district of Odisha, the following data is collected: Parasite Rate = 12%, Slide Positivity Rate = 18%, Annual Blood Examination Rate = 10%, and Annual Parasite Incidence = 8 per 1000. Based on this data, which classification best describes this district?

  • A Hypo-endemic (API < 1)
  • B Meso-endemic (API 1-5)
  • C Hyper-endemic (API > 5)
  • D Holo-endemic (Parasite rate > 75% in children)
Correct answer: C. Hyper-endemic (API > 5)

Explanation

Annual Parasite Incidence (API) = (Number of confirmed malaria cases × 1000) / Population under surveillance. An API > 5 per 1000 population classifies an area as hyper-endemic for malaria in India. This district has an API of 8, placing it in the hyper-endemic category and making it a priority area for intensified malaria control interventions.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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