Under NVBDCP's National Framework for Malaria Elimination 2016–2030, districts with Annual Parasite Incidence (API) greater than which threshold are designated High Endemic Districts requiring intensified vector control?

• A API > 1
• B API > 2
• C API > 10
• D API > 5 ✓

Explanation

NVBDCP stratifies districts as: API <1 (low), API 1–2 (moderate), API 2–5 (high), and API >5 (very high/High Endemic Districts — HEDs). HEDs, concentrated in Odisha, Chhattisgarh, and Jharkhand, receive priority interventions: universal LLIN coverage, indoor residual spraying (IRS), and prompt ACT treatment. Annual parasite incidence = (confirmed malaria cases × 1000) / population at risk under surveillance.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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