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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.
Abstract:
Malaria was in 1989/90 the most important imported disease in Germany. Most of all cases were imported by German tourists (about 75%). Africa was the most prominently represented geographic region (about 75%). Kenia and Ghana represented there the biggest share. About 33% of all patients had not done a sufficient prophylaxis against malaria. An adequate prophylaxis against malaria taking into consideration the recommendations for medicaments for different geographical areas is imperative before the number of importations of malaria into Germany can be reduced.
Insights
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.