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[Current data on malaria in metropolitan France]
M Danis1, F Legros, M Thellier
1Centre National de Référence pour les Maladies d'Importation, ISD, 15, rue de l'Ecole de Médecine, 75270 Paris.
Medecine Tropicale : Revue Du Corps De Sante Colonial
|September 25, 2002
Summary
Imported malaria cases in France rose from 1998-2000, driven by travel to endemic regions, primarily Africa. Plasmodium falciparum was the most common species, with severe cases and fatalities occurring in a small percentage of patients.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Context:
- Imported malaria cases in France showed an increasing trend between 1998 and 2000, peaking at 8,056 cases.
- This rise was primarily attributed to increased travel to malaria-endemic regions, particularly in Africa.
- Autochthonous malaria cases, though rare, were also noted during this period.
Purpose:
- To analyze epidemiological trends of imported malaria in France.
- To identify demographic and geographic factors associated with imported malaria.
- To assess the distribution of Plasmodium species and clinical outcomes.
Summary:
- The study analyzed imported malaria cases in France from 1998-2001, noting a peak in 2000 with 8,056 cases, mainly linked to travel to tropical Africa.
- Plasmodium falciparum was the predominant species (83%), with uncomplicated cases at 90-95% and severe cases at 2-5%.
- Prophylaxis compliance was low (<10%), and treatment trends showed increased use of quinine and mefloquine.
Impact:
- Highlights the significant burden of imported malaria in France, emphasizing the need for improved prevention strategies.
- Provides data on patient demographics and travel patterns, crucial for targeted public health interventions.
- Informs clinical management by detailing Plasmodium species distribution and treatment trends, aiming to reduce mortality and morbidity.