1912 was the first year when antimalarial action was
launched
1919 saw the creation of the first anti malaria service.
In 1928 and 1929, a devastating epidemic seriously
compromised countrywide harvests. As of that point,
thorough sanitization projects were undertaken around the town of
Kenitra, Casablanca and Meknes. From 1930 to 1934, malaria studies
showed the precise extent of the disease.
In 1945, Malaria remained localized along
the Atlantic coast where the coastal regions suffered from “Marsh
Malaria“. Similarly, at the foot of the mountains "Springs and
Sources Malaria” was to be found. Between these 2 main
regions were also a few tracts of land which gave cause for
“Irrigation Malaria”. At the end of the 40’s the fight for vector
control, and programs such as anti-larvae and the extermination of
adult insects accounted for the rapid decrease in the number of
cases of malaria plus prevented the spread of the
disease.
As of 1960, Morocco restructured its health
policies by creating a polyvalent health
infrastructure. In 1961, the Central Bureau for the Eradication of
Malaria was created. In 1962, an agreement was signed with WHO for
the pre-eradication of malaria in the
country.
Up until 1970, about 600,000 inhabitants were
protectedfrom the disease by the fact that homes were
sprayed with DDT From 1970 to 1973 that number jumped to 1,300,000.
Likewise, blood screening and treatments were scaled up: for
example, in 1965, of 300,000 blood tests taken, 27,185 tested
positive for malaria. In 1978, 1,700,000 blood tests were taken of
which only 64 tested positive for malaria.
The neutralization of anopheline sites was maintained
until 1978.From 1979 on however, former hotspots saw
renewed activity: Khemisset in 1979 (397 cases), Beni Mellal,
Chefchaouen, Nador and Al Hoceima (318 cases) in 1984, Larache in
1985 (713 cases). In 1986, transmission was stopped at
Beni Mellal, Al Hoceima and Nador, but 597 cases were still
notified in Chefchaouen and Larache. In 1987 there was renewed
activity in areas such as Fes, Meknes, Khourigba and Tetouan (1,287
cases). In addition to these sites, malaria also struck in Taounate
and Taza (550 cases in 1988), in 1989 Settat, El Kelaa,
Khénifra and Khémisset were also hit.
In the first nine months of 1990, 639 cases were
notified(3). In 1995, 164 cases and 102 in 1996, of which
57 were local. "Autochtonous cases were recorded in
micro-sites, spread out in the rural regions of the provinces of Al
Hoceima, Taounate, Béni Méllal and El Kelâa" (5)
Plasmodiumvivaxis virtually
the only autochthonous parasite. The last case due
to Plasmodiumfalciparum
goes back to 1974, but imported cases still persist (3).