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Updated: Jun 12, 2026

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A Multi-detection Assay for Malaria Transmitting Mosquitoes
Published on: February 28, 2015
Malaria surveillance - United States, 2008
Sonja Mali1, Stefanie Steele, Laurence Slutsker
1Division of Parasitic Diseases and Malaria, Center for Global Health, Atlanta, GA 30341, USA. smali@cdc.gov
Summary
Malaria cases in the U.S. decreased in 2008, with most infections in travelers to West Africa. Many travelers did not use recommended malaria prevention drugs, highlighting the need for adherence to chemoprophylaxis and protective measures.
Area of Science:
- Medical Entomology
- Infectious Diseases
- Parasitology
Background:
- Malaria is transmitted by Anopheles mosquitoes and caused by Plasmodium parasites.
- Most U.S. malaria cases are imported by travelers, but local transmission can occur.
- Surveillance aims to track local transmission and inform traveler prevention strategies.
Purpose of the Study:
- To summarize malaria cases in the U.S. with symptom onset in 2008.
- To analyze trends in malaria cases and Plasmodium species over previous years.
Main Methods:
- Data collected through mandatory reporting systems including the National Malaria Surveillance System (NMSS) and National Notifiable Diseases Surveillance System (NNDSS).
- Case investigations conducted by local and state health departments.
- Analysis of reported cases, including species identification, travel history, and chemoprophylaxis adherence.
Main Results:
- 1,298 malaria cases reported in the U.S. in 2008, a 13.8% decrease from 2007.
- Plasmodium falciparum was the most common species (40.6%).
- Travelers returning from West Africa had the highest estimated relative case rates; 71.7% of those who acquired malaria abroad did not follow recommended chemoprophylaxis.
Conclusions:
- A significant decrease in malaria cases was observed from 2007 to 2008.
- Adherence to malaria chemoprophylaxis regimens among U.S. travelers remains a critical issue.
- Travelers to endemic areas should use chemoprophylaxis and personal protective measures to prevent malaria.
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