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Reactive Case Detection

Reactive Case Detection (RACD) and foci investigation strategies in malaria control and elimination: a review

November 11, 2020 - 14:25 -- Open Access
Ruwanthi Perera, Amandhi Caldera and A. Rajitha Wickremasinghe
Malaria Journal 2020 19:401, 10 November 2020

Reactive case detection (RACD) and foci investigation are key strategies in malaria elimination and prevention of its re-establishment. They are a key part of surveillance that has been recommended by the World Health Organization (WHO) to be considered as a core intervention and as one of the three pillars of the Global Technical Strategy for Malaria 2016–2030.

Malaria infection prevalence and sensitivity of reactive case detection in zanzibar

June 15, 2020 - 15:43 -- Open Access
Stuck L, Fakih BS, Yukich J, et al.
Int J Infect Dis. 2020 Jun 10:S1201-9712(20)30452-5

Reactive case detection (RCD) is a commonly used strategy for malaria surveillance and response in elimination settings. Many approaches to RCD assume detectable infections are clustered within and around homes of passively detected cases (index households), which has been evaluated in a number of settings with disparate results.

Active Case Finding for Malaria: A 3-Year National Evaluation of Optimal Approaches to Detect Infections and Hotspots Through Reactive Case Detection in the Low-transmission Setting of Eswatini

March 20, 2020 - 12:33 -- Open Access
Hsiang MS, Ntshalintshali N, Greenhouse B, et al.
Clin Infect Dis. 2020 Mar 17;70(7):1316-1325

Reactive case detection (RACD) is a widely practiced malaria elimination intervention whereby close contacts of index cases receive malaria testing to inform treatment and other interventions. However, the optimal diagnostic and operational approaches for this resource-intensive strategy are not clear.

Operational Coverage and Timeliness of Reactive Case Detection for Malaria Elimination in Zanzibar, Tanzania

November 27, 2019 - 16:10 -- Open Access
Tina van der Horst, Abdul-wahid Al-mafazy, Bakar Shariff Fakih, Logan Stuck, Abdullah Ali, Joshua Yukich and Manuel W. Hetzel
Am. J. Trop. Med. Hyg., 00(0), 2019, pp. 1–9

Since 2012, the Zanzibar Malaria Elimination Program has been implementing reactive case detection (RACD). Health facility (HF) staff send individual malaria case notifications by using mobile phones, triggering a review of HF records and malaria testing and treatment at the household level by a district malaria surveillance officer. We assessed the completeness and timeliness of this system, from case notification to household-level response. We reviewed two years (2015–2016) of primary register information in 40 randomly selected HFs on Zanzibar’s two islands Unguja and Pemba and database records of case notifications from all registered HFs for the period 2013–16.

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