Comoros health situation analysis:
Comoros reported 103.670 cases of Malaria in the first six months of 2011, compared with 57.084 cases in the year 2010. The Comoros has an estimated population of 798.000 in 2010, making malaria a significant health burden. Considering the relative isolation as well as the size of the islands, an elimination campaign of malaria's principal vector mosquito, Anopheles gambiae, is considered feasible. This mosquito breeds in the vicinity of humans, and in the Comoros with its highly permeable volcanic soils, has adapted to breeding in containers, which is a unique feature for this species. The islands are volcanic, with human habitation around the perimeter along the roads that circumnavigate the islands. Easy access, container breeding, and close association with humans, make this mosquito an excellent candidate for elimination, thereby permanently disrupting malaria transmission.
Malaria elimination strategy proposed by Soper Strategies:
We propose the elimination of Anopheles gambiae to be based on larval source management through either modification of habitat (rendering it unsuitable for breeding) or through the use of environmentally-friendly larvicides to kill mosquitoes during their aquatic stage. For this we can use biological larvicides like Bti, or juvenile hormone analogues like pyriproxyfen or s-methoprene. Such an operation will be preceded by the formation of a well-trained squad of larval control and monitoring inspectors, which will be recruited from within the local community. The precise requirements for such an operation in terms of human and other resources can be gauged during a feasibility assessment that can be undertaken by Soper Strategies staff.