Egypt Declared Malaria-Free: A Monumental Milestone in Public Health

In an achievement that resonates through the annals of history and the corridors of modern public health, the World Health Organization (WHO) has officially certified Egypt as malaria-free. This triumph is a testament to a nearly century of relentless effort by Egypt’s government and its people, marking the end of a centuries-old scourge that has afflicted the nation since antiquity.

Malaria has long been an indelible part of Egypt’s history, with evidence of the disease traced back to around 4000 BCE. The same malady that once plagued the pharaohs is now consigned to history, no longer a spectre haunting Egypt’s future. The certification by WHO is an accolade for Egypt’s dedication to public health. It is particularly noteworthy in a nation with over 100 million residents, where eradicating a deeply entrenched disease requires perseverance, innovation, and unity.

As Dr Tedros Adhanom Ghebreyesus, WHO Director-General, eloquently stated, “Malaria is as old as Egyptian civilisation itself, but the disease that plagued pharaohs now belongs to its history and not its future. This certification of Egypt as malaria-free is truly historic and a testament to the commitment of the people and government of Egypt to rid themselves of this ancient scourge.”

Egypt’s Journey to Eradication: A History of Determination

Egypt’s odyssey towards eliminating malaria is a saga of collective willpower. It began in the early 20th century when the government introduced measures to reduce human-mosquito contact. As early as the 1920s, Egypt implemented agricultural reforms, including restricting rice cultivation near residential areas — a strategy designed to minimise breeding grounds for malaria-spreading mosquitoes.

However, it wasn’t until 1930, when malaria was declared a notifiable disease, that systematic public health interventions began in earnest. Establishing the first malaria control station, focusing on diagnosis, treatment, and surveillance, paved the way for structured disease management. Yet, despite these early efforts, Egypt faced major setbacks during the Second World War, when a spike in cases reached over three million due to population displacement, service disruption, and the proliferation of *Anopheles arabiensis*, a highly efficient mosquito vector.

The post-war era, marked by the construction of the Aswan Dam in 1969, introduced a new challenge. The dam’s vast water reservoirs became fertile breeding grounds for mosquitoes, intensifying the risk of malaria outbreaks. Egypt responded with a robust public health and vector control initiative, collaborating with neighbouring Sudan to manage this new threat.

By 2001, Egypt had brought malaria under control, and in 2014, when a small outbreak emerged in Aswan, the country demonstrated its resilience. The outbreak was swiftly contained through early case identification, immediate treatment, and heightened public education, proving the effectiveness of Egypt’s surveillance and response systems.

A Symbol of Hope for the Region

Egypt’s certification as malaria-free by WHO is not just a personal victory for the country but also a beacon of hope for other nations still grappling with malaria. Egypt is only the third country in the WHO Eastern Mediterranean Region to achieve this status, following in the footsteps of the United Arab Emirates and Morocco, and the first to do so in over a decade.

This success reflects the country’s unwavering commitment to public health. Dr Hanan Balkhy, WHO Regional Director for the Eastern Mediterranean, celebrated Egypt’s achievement: “Today, Egypt has proven that with vision, dedication, and unity, we can overcome the greatest challenges. This success in eliminating malaria is not just a victory for public health but a sign of hope for the world, especially for other endemic countries in our region.”

Egypt’s sustained investment in robust health systems, particularly its focus on integrated disease surveillance, has been the cornerstone of its achievement. Moreover, community engagement and regional collaboration have played critical roles. Egypt’s partnerships with neighbouring countries, especially Sudan, have been crucial in preventing cross-border malaria transmission, helping to secure the nation’s malaria-free status.

Sustaining the Success: A Vigilant Future

Though Egypt has won the battle against malaria, the war on maintaining its malaria-free status is ongoing. The WHO certification is not an end but a new beginning, as highlighted by Dr Khaled Abdel Ghaffar, Egypt’s Deputy Prime Minister. He emphasised the importance of vigilance in sustaining this milestone, stating, “Receiving the malaria elimination certificate today is not the end of the journey but the beginning of a new phase. We must now work tirelessly and vigilantly to sustain our achievement through maintaining the highest standards for surveillance, diagnosis, and treatment.”

Egypt must continue its robust strategies to uphold its malaria-free status, including integrated vector management, rapid responses to imported cases, and a comprehensive early case detection and treatment system. The cross-border collaborations integral to achieving certification will remain essential in preventing a resurgence of the disease as Egypt continues to engage with endemic countries in the region.

A Legacy of Public Health Triumph

Egypt’s certification as malaria-free serves as a reminder of what can be achieved when a nation unites behind a common goal. It symbolises the end of an ancient battle and a future where public health can continue to flourish in the face of adversity. The lessons from Egypt’s journey provide invaluable insights for the global fight against malaria, offering a roadmap for other countries striving to eradicate the disease.

With this achievement, Egypt joins a distinguished group of nations that have successfully interrupted malaria transmission, providing inspiration and hope for a world where the elimination of this ancient disease is no longer a distant dream but a realistic possibility. The journey continues, but the future is bright for a malaria-free Egypt.