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Many Norwegian hospitals are not prepared to treat severe malaria, with some lacking essential diagnostic tools. This highlights a critical gap in preparedness for this life-threatening disease.

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Area of Science:

  • Infectious Diseases
  • Tropical Medicine
  • Public Health

Background:

  • Approximately 60 malaria cases are admitted to Norwegian hospitals annually.
  • Prescription data suggests increasing malaria exposure among Norwegians.

Purpose of the Study:

  • To assess the diagnostic and treatment preparedness of Norwegian hospitals for malaria.
  • To identify gaps in managing severe malaria cases.

Main Methods:

  • An electronic questionnaire was distributed to all Norwegian hospitals with internal medicine departments.
  • The survey collected data on available malaria diagnostic methods and treatments.

Main Results:

  • Microscopy for malaria diagnosis was available in 92% of hospitals; rapid antigen tests in 67%.
  • Intravenous artesunate or quinine for severe malaria treatment were available in only 33% of hospitals.
  • A significant 40% of hospitals lacked essential drugs for treating severe malaria.

Conclusions:

  • Over a third of Norwegian hospitals are unprepared to treat severe malaria.
  • Some hospitals lack adequate diagnostic procedures for malaria.
  • There is a critical need for all Norwegian hospitals to establish emergency treatment protocols for severe malaria.