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Related Experiment Videos

Malaria surveillance--United States, 1995.

H A Williams1, J Roberts, S P Kachur

  • 1Epidemic Intelligence Service, Epidemiology Program Office, CDC, USA.

MMWR. CDC Surveillance Summaries : Morbidity and Mortality Weekly Report. CDC Surveillance Summaries
|March 13, 1999
PubMed
Summary

Malaria cases in the U.S. increased 15% in 1995, primarily due to more infections acquired in Asia and the Americas. Many travelers did not use recommended malaria chemoprophylaxis, highlighting the need for prevention.

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Area of Science:

  • Epidemiology
  • Infectious Diseases
  • Public Health

Background:

  • Malaria is a mosquito-borne illness caused by Plasmodium parasites, posing a significant health risk to travelers and occasionally occurring domestically.
  • While most U.S. malaria cases are imported, local transmission, congenital cases, and exposure via blood products can occur.

Purpose of the Study:

  • To analyze malaria surveillance data in the United States for 1995.
  • To identify trends in malaria cases, including geographic sources of infection and modes of transmission.
  • To inform malaria prevention strategies for travelers and healthcare providers.

Main Methods:

  • Data were collected through the National Malaria Surveillance System (NMSS), based on confirmed malaria cases reported to local and state health departments.

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  • Case investigations were conducted by health departments to gather information on illness onset, infecting Plasmodium species, and geographic origin of infection.
  • Analysis focused on cases with symptom onset during 1995.
  • Main Results:

    • A total of 1,167 malaria cases were reported in 1995, a 15% increase from 1994.
    • Plasmodium vivax (48.2%) and Plasmodium falciparum (38.6%) were the most common species identified.
    • Cases acquired in Asia and the Americas significantly increased, with a notable 100% rise in cases from South America. Six deaths were attributed to malaria.
    • Only 15.6% of U.S. civilians who acquired malaria abroad reported adhering to recommended chemoprophylaxis.

    Conclusions:

    • The rise in malaria cases is linked to increased infections acquired in Asia and the Americas, potentially due to changing travel patterns or reduced chemoprophylaxis use.
    • A significant proportion of U.S. civilians contracting malaria abroad were not on appropriate prophylactic medication.
    • Updated prevention guidelines emphasize chemoprophylaxis and personal protective measures for travelers, and prompt medical evaluation for febrile individuals returning from endemic areas.