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[Malaria importation into Germany in 1989/90]
K D Zastrow1, S Dieckmann, I Schöneberg
1Institut für Sozialmedizin und Epidemiologie des Bundesgesundheitsamtes, Berlin.
Summary
Malaria remains a significant imported disease in Germany, primarily affecting tourists returning from Africa. Insufficient malaria prophylaxis is a key factor, highlighting the need for better prevention strategies.
Area of Science:
- Tropical medicine
- Epidemiology of infectious diseases
- Public health surveillance
Context:
- In 1989/90, malaria was the leading imported disease in Germany.
- Approximately 75% of cases were imported by German tourists.
- The majority of infections originated from Africa, with Kenya and Ghana being major sources.
Purpose:
- To analyze the epidemiology of imported malaria cases in Germany.
- To identify risk factors associated with malaria importation.
- To emphasize the importance of malaria prophylaxis.
Summary:
- German tourists were the primary source of imported malaria cases.
- A significant proportion (33%) of malaria patients had inadequate prophylaxis.
- Geographic origins were predominantly African, with specific high-incidence countries.
Impact:
- Highlights the critical need for improved malaria prevention measures for travelers.
- Underscores the importance of adhering to recommended antimalarial drug guidelines.
- Informing public health strategies to reduce malaria importation into Germany.