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Related Experiment Videos

Malaria in children

A Kumar, Y P Shah, H P Sundaresh

    American Family Physician
    |August 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Malaria incidence in the US has tripled, particularly in travelers. Prompt diagnosis and complete chemoprophylaxis are crucial for preventing and treating this persistent fever-causing illness.

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    Area of Science:

    • * Infectious Diseases
    • * Tropical Medicine
    • * Public Health

    Background:

    • * The United States has observed a threefold increase in malaria cases over the last decade.
    • * Malaria diagnosis requires a high index of suspicion, especially in individuals with persistent fever who have traveled from or recently visited endemic regions, including refugees.
    • * The risk of malaria in children within these demographics should not be underestimated.

    Observation:

    • * A significant factor contributing to malaria cases in returning travelers is the incomplete adherence to prescribed chemoprophylaxis regimens.
    • * Persistent fever in travelers, visitors, and refugees necessitates thorough medical evaluation for malaria.
    • * Pediatric malaria cases among these populations warrant specific attention.

    Findings:

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    • * Failure to complete the full course of malaria chemoprophylaxis is a common reason for infection in travelers returning to the US.
    • * Treatment protocols for malaria, excluding Plasmodium falciparum infections, should incorporate both chloroquine and primaquine to effectively prevent relapses.
    • * The rising incidence highlights challenges in malaria prevention and control in non-endemic settings.

    Implications:

    • * Public health strategies should emphasize adherence to malaria chemoprophylaxis for international travelers.
    • * Clinicians must maintain a high index of suspicion for malaria in febrile individuals with relevant travel history.
    • * Further research into effective relapse prevention strategies for non-falciparum malaria is warranted.