Falciparum malaria in a displaced Haitian population

Falciparum malaria was a major problem among displaced Haitians in temporary camps at the US Naval Base, Guantanamo Bay, Cuba. From December 1991 to March 1992, 235 cases of unmixed falciparum malaria were diagnosed in the laboratory, giving a cumulative attack rate of 160 per 10 000 camp residents. All cases were successfully treated with oral chloroquine. Children under 16 years of age, and especially females, were at substantially higher risk of infection (attack rate 481/10 000 versus 278/ 10 000 for males in the same age range). Malaria attack rates by place of birth in Haiti were calculated per 10 000 people as Cayemite, 530; Baraderes, 375; Pestel, 285; Port Au Prince, 247; and La Gonave, 36. The time to onset of clinical malaria after embarking at the Naval Base ranged from one to 58 d. No malaria transmission was demonstrated in the migrant camp. A non-systematic survey showed a 1.7% prevalence (95% confidence interval +/- 1.9%) of falciparum malaria among asymptomatic residents. Health practitioners in areas that may receive Haitian migrants should plan to care for malaria and preventive medicine measures are indicated, as imported malaria could be transmitted in areas where competent vectors are indigenous.