Epidemiological Investigation of Forest Malaria among GREF and Army Personnel
G Ghose1, K Rahul Ray2, A Banerjee3
1DDG (Med), ECHS, Delhi Cantt, New Delhi.
Background:
General Reserve Engineering Forces (GREF) engaged in road construction and military personnel camping in forest areas are at high risk of contacting malaria.
Method:
All cases of malaria were confirmed by peripheral blood smear examination. Neighbouring civilian houses were visited, members interviewed and blood slides taken. Environmental survey included mosquito and larval collection. Epidemiological data on malaria in the state and the district was obtained from civil health authorities.
Results:
During April-June 2001 there were 27 cases of malaria amongst GREF and army personnel out of 91 deployed giving an attack rate of 29.67%. The attack rate was significantly more in GREF personnel (45%) compared to army personnel (17.65%). All the cases were falciparum malaria. Out of 20 randomly collected blood slides from the civil laborers, 2 (10%) were positive for falciparum malaria.
Conclusion:
For small patrols operating in hyperendemic malarious areas strict personnel protective measures besides chemoprophylaxis needs to be implemented.
