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Published on: May 30, 2019
Paediatric malaria in Greece in the era of global population mobility
Helena C Maltezou1, Maria Tsolia, Ioannis Polymerou
1Department for Interventions in Health-Care Facilities, Hellenic Center for Disease Control and Prevention, 3-5 Agrafon Street, Athens, Greece. helen-maltezou@ath.forthnet.gr
Insights
Paediatric malaria cases in Greece significantly increased between 2003-2012, primarily affecting children who traveled to malaria-endemic regions. This rise is linked to immigration and visits by friends and relatives (VFRs).
Area of Science:
- Epidemiology
- Infectious Diseases
- Pediatrics
Background:
- Malaria poses a significant public health concern globally.
- Understanding the epidemiological trends of pediatric malaria is crucial for effective control strategies.
Purpose of the Study:
- To analyze the epidemiological shift of pediatric malaria cases in Greece.
- To identify the primary risk factors and travel patterns associated with pediatric malaria in Greece.
Main Methods:
- Retrospective review of medical records of children admitted with malaria.
- Data collection from four tertiary-care hospitals in Greece spanning 1972-2012.
- Analysis of patient demographics, travel history, and symptom onset.
Main Results:
- A total of 21 pediatric malaria cases were identified, with a notable increase (20 cases) observed between 2003 and 2012.
- Over 76% of affected children had traveled to malaria-endemic countries within 50 days prior to symptom onset.
- Immigration and travel by friends and relatives (VFRs) were the predominant reasons for travel.
Conclusions:
- A significant epidemiological shift in pediatric malaria has occurred in Greece over the past decade.
- The increase is predominantly attributed to a rise in immigrant populations and VFR travelers.
- Public health initiatives should focus on risk assessment and prevention strategies for these demographic groups.
Abstract:
We reviewed the medical records of children admitted because of malaria to four tertiary-care hospitals in Greece during 1972-2002. A total of 21 cases were found, including 20 (95.2%) diagnosed during 2003-2012. Sixteen (76.2%) children had been in a malaria-endemic country within a median of 50 days before the onset of their symptoms. Main causes of travel were immigration to Greece and to visit friends and relatives (VFRs). A considerable epidemiological shift of paediatric malaria occurred in Greece during the past decade, which is attributed almost exclusively to the increase of immigrants and travellers VFRs.
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