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Related Experiment Videos

Imported malaria (1985-95): trends and perspectives.

P Muentener1, P Schlagenhauf, R Steffen

  • 1Division of Communicable Diseases, University of Zurich, Switzerland.

Bulletin of the World Health Organization
|August 13, 1999
PubMed
Summary

Malaria cases are imported into industrialized nations, posing a public health risk. Inconsistent data collection hinders effective malaria surveillance and prevention strategies in these non-endemic areas.

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Area of Science:

  • Global Health
  • Infectious Diseases Epidemiology
  • Travel Medicine

Background:

  • Malaria is a significant concern in non-endemic industrialized regions due to imported cases.
  • Effective surveillance and data collection are crucial for managing imported malaria.

Purpose of the Study:

  • To analyze trends in reported malaria cases in industrialized countries from 1985-1995.
  • To identify challenges in data collection and potential strategies for malaria control.

Main Methods:

  • Collation of reported malaria case data from industrialized countries (1985-1995).
  • Analysis of incidence, case-fatality rates (CFRs), and traveler attack rates.
  • Assessment of data reporting completeness and consistency.

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Main Results:

  • Significant underreporting and data heterogeneity were observed across countries.
  • European malaria incidence showed an increase from 1985-1995, with notable importations to France, Germany, Italy, and the UK.
  • Plasmodium falciparum became a more prevalent imported species, with high CFRs in Germany and elevated attack rates among travelers to Kenya.

Conclusions:

  • Imported malaria remains a public health issue in industrialized countries, characterized by high CFRs.
  • Inconsistent surveillance and data homogeneity impede accurate assessment of incidence, risk groups, and chemoprophylaxis efficacy.