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Following a nearly century-long effort, Georgia has been certified malaria-free by the World Health Organization (WHO). With today’s announcement, Georgia joins the ranks of 45 countries and 1 territory that have achieved this milestone.

“Today we congratulate the people of Georgia for their decades of targeted and sustained actions to eliminate malaria, one of the world’s leading killers,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “Georgia’s commitment and success gives us hope that a malaria-free world is possible.”

“This is a huge milestone worth marking; with Georgia’s achievement, the WHO European Region is another step closer to initiate certification as the first malaria-free region in the world,” said Dr Hans Henri P. Kluge, WHO Regional Director for Europe. “This doesn’t happen in a vacuum, this was made possible thanks to sustained investment, dedication of the health workforce and targeted efforts in prevention, early detection and effective treatment of all malaria cases.”

Certification of malaria elimination is granted by WHO when a country has proven, beyond reasonable doubt, that the chain of indigenous transmission has been interrupted nationwide for at least the previous three consecutive years.

The Minister of Health, Mikheil Sarjveladze, noted that certifying Georgia as malaria-free is a recognition of the sustainability of its healthcare system, “this success means that Georgia can address important health challenges."

A longstanding challenge

Malaria has plagued Georgia since ancient times. Before the introduction of systematic control efforts in the early 1900s, at least 3 malaria parasite species—P. falciparum, P. malariae and P. vivax—were endemic in the country. In the 1920s, an estimated 30% of the population suffered from malaria caused by the P. vivax malaria species.

By 1940, large-scale mosquito control programmes had helped reduce malaria cases significantly through improved access to diagnostic and treatment facilities. A few years later, however, World War II caused a surge again due to population movement and the strain on health facilities. 

In the post-war period, Georgia launched an intensive programme aimed at eliminating malaria, using newer medicines, insecticide spraying and robust entomological surveillance. The campaign successfully interrupted the transmission of P. falciparum by 1953, P. malariae by 1960 and P. vivax by 1970. 

Georgia remained malaria-free for 25 years, but by 2002, malaria had reemerged in the country with 474 cases reported.

Renewed commitments to stop the disease

In 2005, together with 9 other countries in the WHO European Region, Georgia signed the Tashkent Declaration, reaffirming its pledge to eliminate malaria. The intensified interventions that followed significantly reduced malaria incidence in Georgia, with the last indigenous case recorded in 2009. By 2015, all 53 countries of the WHO European Region, including Georgia, reported zero indigenous cases of malaria.

To prevent further re-establishment of malaria transmission in the region, the original signatories of the Tashkent Declaration issued the Ashgabat Statement in 2017 committing to take all efforts to remain malaria-free. Türkiye is the only country in the WHO European Region remaining to be certified.

In 2024, during the Georgia’s malaria-free certification process, members of the Technical Advisory Group on Malaria Elimination and Certification, an independent WHO advisory body, noted that Georgia has a well-functioning and adequately resourced health system, strong public-private cooperation, and political commitment to maintaining a malaria-free status.

 Note to the editor

WHO malaria-free certification

The final decision on awarding a malaria-free certification is made by the WHO Director-General, based on a recommendation by the Technical Advisory Group on Malaria Elimination and Certification and validation from the Malaria Policy Advisory Group. For more on WHO’s malaria-free certification process, visit this link.

 

The World Health Organization regrets the announcement that the United States of America intends to withdraw from the organization.

The World Health Organization (WHO) welcomes the Gaza ceasefire, hostage and prisoner release deal, which brings hope for millions of people whose lives have been ravaged by the conflict.   

The health challenges ahead are immense. The entire population of Gaza has faced multiple displacements. More than 46 600 people have been killed and over 110 000 have been injured. The real figures are likely much higher. Only half of Gaza’s 36 hospitals remain partially operational, nearly all hospitals are damaged or partly destroyed, and just 38% of primary health care centres are functional. An estimated 25% of those injured – around 30 000 people – face life-changing injuries and will need ongoing rehabilitation. Specialized health care is largely unavailable, medical evacuations abroad are extremely slow. Transmission of infectious diseases has massively increased, malnutrition is rising, and the risk of famine persists. The breakdown of public order, exacerbated by armed gangs, raises further concerns.  

Addressing the massive needs and restoring the health system will be an extremely complex and challenging task, given the scale of destruction, operational complexity and constraints involved. Billions in investment are needed to support recovery of the health system, which will require the unwavering commitment of donors and the international community.  

WHO is ready to scale up the response together with UN health partners including UNFPA, UNICEF, UNRWA and 67 Health Cluster partners. However, it is critical that the security obstacles hindering operations are removed. WHO will need conditions on the ground that allow systematic access to the population across Gaza, enabling the influx of aid via all possible borders and routes, and lifting restrictions on the entry of essential items. Also essential are active protection of civilians and health-care workers, expediting medical evacuations through all possible routes for over 12 000 patients (and their companions) who urgently require specialized care, strengthening and speeding up the referral system to East Jerusalem and the West Bank, and addressing road repairs, rubble removal, and the remediation of unexploded ordnances. 

WHO and partners will need a massive scale-up of funding to meet immediate health needs, and to begin to restore the heath system, including the workforce, supply chain and infrastructure.

WHO and partners will implement a 60-day plan to support the urgent restoration and expansion of the health system. Focus will be on key priority response areas, including trauma and emergency care, comprehensive primary health care, child health, noncommunicable diseases (NCDs), sexual and reproductive health and rights (SRHR), rehabilitation, mental health and psychosocial support (MHPSS).  

Given the immense needs, WHO is scaling up operations and mobilizing critical supplies and resources for delivery into Gaza. A priority will be the assessment and rehabilitation of partially damaged health facilities in high-need areas. Work is ongoing to urgently increase bed capacity across selected hospitals in northern and southern Gaza, together with the expansion of operational capacities, supporting the hiring and redistribution of national health workers, and increasing deployment of international health workers to fill gaps. Plans are underway to integrate prefabricated clinics and hospitals with existing health facilities to enhance service delivery in underserved and newly accessible areas.   

Efforts also are underway to strengthen referral processes for critical care within Gaza and facilitate cross-border medical evacuations. Given the high level of malnutrition and disease outbreaks, WHO is working with partners to expand infant and young child feeding programmes, enhance immunization efforts and reinforce disease surveillance systems for timely prevention, reporting, and outbreak management. 

WHO calls on all parties to uphold their commitment to fully implement the ceasefire agreement and to continue working towards a political solution to address the protracted crisis in the occupied Palestinian territory, which is essential for lasting peace.