As per the National Framework for Malaria Elimination in India (2016-2030), which one of the following has to be achieved by the year 2027?
The entire country to have no indigenous case of malaria and no deaths due to malaria
The correct answer is that by 2027 the entire country should have no indigenous case of malaria and no deaths due to malaria. The National Framework for Malaria Elimination in India (2016-2030) of NVBDCP (now NCVBDC) classifies districts into Categories 0 to 3 by annual parasite incidence and sets these milestones: by 2016, eliminate malaria from all Category 1 districts; by 2020, bring all States/UTs to Category 1 or 0; by 2022, eliminate malaria from Category 2 and 3 districts; by 2024, zero indigenous cases and deaths in the remaining States/UTs; by 2027, interrupt indigenous transmission nationwide; and by 2030, sustain this and obtain WHO certification of malaria-free status.
'Less than 1 case per 1000 population at risk' is wrong, as an API below 1 is only the pre-elimination benchmark for reclassifying districts. The option pairing 'less than 1 indigenous case per 1000' with 'less than 1 death per 10000' fails likewise, since elimination demands zero indigenous cases. 'No indigenous case with less than 1 death per 100000' is internally inconsistent, because once indigenous transmission is interrupted there can be no indigenous malaria deaths at all.
Key point: Elimination means zero indigenous cases, not a low incidence. Remember 2027 = transmission interrupted, 2030 = malaria-free certification.
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