Con más de 505.000 casos de malaria reportados en 2023 en las Américas, el 70% en territorios amazónicos, la eliminación de esta enfermedad continúa siendo un reto prioritario para la salud pública regional. Para enfrentarlo, la Organización Panamericana de la Salud (OPS) y el Banco de Desarrollo de América Latina y el Caribe (CAF) firmaron un Memorando de Entendimiento con el objetivo de fortalecer la respuesta coordinada en zonas fronterizas críticas, particularmente entre comunidades indígenas y poblaciones móviles.
La firma de este acuerdo representa un paso estratégico en la agenda de salud regional. “La OPS celebra esta colaboración con CAF para garantizar que todas las poblaciones de las Américas se beneficien de los últimos avances en la prevención, el diagnóstico y el tratamiento de la malaria”, afirmó el doctor Jarbas Barbosa, Director de la OPS. En la misma línea, Sergio Díaz-Granados, Presidente Ejecutivo de CAF, destacó que “esta alianza representa un paso fundamental para abordar las inequidades en salud en las comunidades vulnerables de la frontera amazónica”.
Las cifras justifican la urgencia: en 2023, el 31% de todos los casos de malaria y el 41% de las muertes asociadas a esta enfermedad se registraron en poblaciones indígenas de la región amazónica. Las condiciones geográficas, la falta de acceso a servicios básicos de salud y la alta movilidad entre países complican los esfuerzos de prevención y control, demandando respuestas intersectoriales y transnacionales.
Cinco líneas de acción clave del nuevo acuerdo
La cooperación entre la OPS y CAF se traducirá en una serie de iniciativas operativas con impacto directo en las zonas de mayor incidencia. Estas son:
- Identificación de barreras críticas: diagnóstico de los principales obstáculos para garantizar el acceso oportuno al diagnóstico y tratamiento de la malaria en regiones fronterizas.
- Capacitación del personal de salud: formación de trabajadores comunitarios y equipos de atención primaria en el uso de pruebas rápidas y algoritmos clínicos para malaria.
- Expansión de redes locales: fortalecimiento de las capacidades de detección, diagnóstico y respuesta en comunidades remotas.
- Participación comunitaria: promoción de acciones de sensibilización y control local con participación activa de la población.
- Intercambio epidemiológico transfronterizo: consolidación de mecanismos binacionales de vigilancia y coordinación sanitaria.
Este enfoque integral no solo responde a las necesidades clínicas, sino también a las determinantes sociales de la enfermedad, entre ellas la marginalización histórica de las comunidades indígenas y las deficiencias estructurales del primer nivel de atención en regiones amazónicas.
Malaria en la cuenca del Amazonas: un reto persistente
La malaria es causada por el parásito Plasmodium y transmitida por mosquitos Anopheles se manifiesta clínicamente con fiebre, cefalea y escalofríos. Si no es tratada a tiempo, puede progresar rápidamente a formas graves e incluso provocar la muerte. Aunque la enfermedad es prevenible y curable, su persistencia en América del Sur está asociada a factores como el acceso limitado a servicios de salud, la fragmentación de políticas públicas y la baja cobertura en comunidades rurales.
En 2023, los más de 505.000 casos fueron reportados en las Américas, la mayoría concentrados en los países de la cuenca amazónica: Brasil, Colombia, Perú, Venezuela, Bolivia, Ecuador, Guyana y Surinam. Esta distribución epidemiológica exige respuestas articuladas, con políticas que trasciendan las fronteras nacionales y se centren en los determinantes estructurales de la transmisión.
La malaria y la Iniciativa de Eliminación de Enfermedades de la OPS
La malaria forma parte de las más de 30 enfermedades que la Organización Panamericana de la Salud busca eliminar en la región a través de su Iniciativa de Eliminación de Enfermedades. El objetivo es erradicarlas de forma sostenible para 2030 mediante estrategias basadas en evidencia, cooperación entre países y acciones diferenciadas para grupos poblacionales en riesgo.
Con este nuevo acuerdo, la OPS y el CAF envían una señal clara: la eliminación de la malaria requiere alianzas estratégicas, financiamiento sostenible y, sobre todo, el empoderamiento de las comunidades más afectadas. En palabras del Dr. Barbosa, “trabajar en las zonas fronterizas es clave para hacer frente a la malaria a nivel regional y avanzar en los objetivos de la Iniciativa”.
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