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Related Experiment Videos

Malaria in Britain: 1977-86.

P A Phillips-Howard1, D J Bradley, M Blaze

  • 1Ross Institute, London.

British Medical Journal (Clinical Research Ed.)
|January 23, 1988
PubMed
Summary
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Malaria cases in Britain rose 51% in a decade, with Plasmodium falciparum infections increasing significantly. Risk is highest for ethnic minorities, West African residents, and tourists, particularly men and children.

Area of Science:

  • Medical Entomology
  • Infectious Diseases
  • Public Health

Background:

  • Malaria incidence in Britain has seen a notable increase over the past ten years.
  • Plasmodium falciparum infections now represent a larger proportion of total malaria cases.

Purpose of the Study:

  • To analyze trends in malaria incidence and characteristics of infections reported in Britain.
  • To identify high-risk populations and geographical risk factors for malaria in the UK.

Main Methods:

  • Analysis of malaria case data reported to the Malaria Reference Laboratory over a decade.
  • Calculation of attack rates for different demographic groups and travel scenarios.

Main Results:

  • Total malaria cases increased by 51% (1529 to 2309).

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  • Plasmodium falciparum cases rose from one-fifth to one-third of all infections.
  • Case fatality rate for P. falciparum decreased from 2.7% to 0.5%.
  • High-risk groups include resident ethnic minorities, West African visitors, and tourists to Kenya.
  • Men, children, and young adults showed higher attack rates.
  • Immigrants visiting relatives in Africa and Asia had the highest attack rates.

    • Conclusions:

    • Malaria remains a significant imported disease in Britain, with changing patterns of infection.
    • Targeted prevention strategies are needed for high-risk groups, including ethnic minorities and travelers.
    • Continued surveillance is crucial for monitoring malaria trends and informing public health interventions.