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[Malaria pattern in French Guyana (author's transl)]

B Juminer, Y Robin, F X Pajot

    Medecine Tropicale : Revue Du Corps De Sante Colonial
    |March 1, 1981
    PubMed
    Summary

    Malaria incidence in French Guyana increased from 1970-1979 due to immigrant influx and drought, with Plasmodium falciparum being the primary species. Control efforts must target vectors and migrant populations.

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    Area of Science:

    • * Tropical Medicine and Public Health
    • * Epidemiology and Disease Surveillance
    • * Vector-borne Disease Control

    Context:

    • * Analysis of parasitological data from French Guyana between 1970 and 1979.
    • * Moderate general malaria incidence observed, with significant increases noted in 1973 and 1979.
    • * Identification of key contributing factors: malaria-infested immigrant populations and prolonged drought conditions.

    Purpose:

    • * To investigate the epidemiological patterns of malaria in French Guyana over a decade.
    • * To identify the primary Plasmodium species responsible for malaria transmission.
    • * To assess the role of vectors and environmental factors in malaria outbreaks.

    Summary:

    • * Malaria incidence rose significantly, driven by immigration and favorable meteorological conditions for vector activity.
    • * Plasmodium falciparum (84%) and Plasmodium vivax (15%) were the predominant species, with P. vivax showing increased prevalence later in the study period.
    • * Autochthonous malaria is concentrated in border regions, with migrant arrivals frequently triggering outbreaks, particularly in Cayenne Island.

    Impact:

    • * Highlights the need for regional control coordination and sanitary surveillance of migrants in endemic areas.
    • * Identifies Anopheles darlingi as the primary vector, with other Anopheles species playing localized roles.
    • * Emphasizes the importance of integrated vector control, focusing on preimaginal stages, and proposes a model for evaluation in Cayenne Island.

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