La Malaria en el estado Bolívar, Venezuela: 10 a？os sin control

the incidence of malaria in bolívar state in the decade 2001-2010 was 235,288 cases. since 2001, when it produced 4998 (21.4% of malaria in venezuela), the state has registered a continue trend, resulting an increase of 795.2% to 2010, when 39,744 were diagnosed cases (86.5% of the national malaria), their highest historical impact, and its parasite formula 78.3% to p. vivax, 19.6% p. falciparum, 0.1% p. malariae and 2% of mixed infections (p. vivax + p. falciparum). the municipality sifontes, had the highest incidence in 2010, bringing his parish of san isidro, 15,767 cases: 73.9% of the disease in the municipality, bolívar state 39.7% and 34.9% of the country, with an ipa 658 per thousand inhabitants. contribute to incidence increase: budget deficiencies, administrative and logistics of the program, poor diagnostic access and covering, incomplete treatments, unsupervised control activities, lack of decision making and situational analysis nonexistent. it is important to resume the form of technical teams responsible for program management in the areas of management and vigilance, develop technical expertise and resources at local level with community participation.