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[Imported malaria in children in France].

F Castéla1, F Legros, B Lagardère

  • 1Unité de réanimation médicale, hôpital Saint-Vincent-de-Paul, AP-HP, 82, avenue Denfert-Rochereau, 75014 Paris, France. secretariat.reamed@svp.ap-hop-paris.fr

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|September 16, 2003
PubMed
Summary

Imported malaria in children is a significant concern in France, with most cases acquired in Africa. Improving malaria chemoprophylaxis compliance is crucial to reduce incidence.

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Surveillance of malaria in European Union countries.

Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin·2003

Area of Science:

  • Tropical medicine
  • Pediatric infectious diseases
  • Epidemiology of imported diseases

Context:

  • France experiences a high burden of imported malaria cases.
  • Pediatric malaria surveillance is essential for public health.
  • Imported diseases pose unique challenges in non-endemic countries.

Purpose:

  • To assess the epidemiological characteristics of imported malaria in children in France.
  • To evaluate the severity and outcomes of pediatric malaria cases.
  • To identify factors contributing to malaria incidence in children.

Summary:

  • A retrospective review of 1256 malaria cases in children (under 15) notified to the Centre National de Référence des Maladies d'Importation (CNRMI) between 1995-1997.
  • Plasmodium falciparum was the predominant species (79.2%), with most infections acquired in Africa.

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  • Despite prophylaxis use, compliance was often poor, and chemoprophylaxis frequently inadequate, highlighting a need for improvement.

    • Impact:

    • Findings underscore that pediatric malaria is not uncommon in France.
    • The study highlights the critical role of effective malaria chemoprophylaxis in preventing imported cases.
    • Recommendations focus on enhancing prophylaxis strategies to reduce the incidence of imported malaria in children.