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Malaria as an occupational disease

B Jaremin, W Nahorski, J Goljan

    Bulletin of the Institute of Maritime and Tropical Medicine in Gdynia
    |January 1, 1993
    PubMed
    Summary
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    Malaria is a significant occupational disease for Poles working abroad, particularly seafarers, with many experiencing prolonged incapacity and severe long-term health issues. Intensified malaria prevention strategies are crucial for this demographic.

    Area of Science:

    • Tropical Medicine
    • Occupational Health
    • Epidemiology

    Background:

    • Malaria is recognized as an occupational disease in Polish citizens working internationally.
    • Imported malaria cases are a concern in Poland, affecting individuals in various professions.

    Purpose of the Study:

    • To analyze the occupational, epidemiological, and clinical aspects of malaria in Polish citizens.
    • To assess the long-term sequelae and socioeconomic impact of malaria in this population.

    Main Methods:

    • Retrospective analysis of 95 malaria cases treated between 1984 and 1993.
    • Examination of occupational history, infection sources, clinical presentation, and treatment outcomes.

    Main Results:

    • Seafarers, fishermen, priests, and missionaries were the most affected groups, primarily infected in West Africa.

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  • Most patients neglected malaria chemoprophylaxis, leading to prolonged work incapacity (over 1 month for 1/3 of patients).
  • Permanent sequelae, including central nervous system, liver, kidney, and heart damage, were observed in 7% of patients six months post-treatment.

    • Conclusions:

    • Malaria poses a substantial health risk and socioeconomic burden to Poles working in endemic regions.
    • There is a critical need to enhance malaria prevention measures and chemoprophylaxis adherence among these workers.