Document Detail


Impact of imported malaria on the burden of disease in northeastern Venezuela.
MedLine Citation:
PMID:  16412105     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Many countries throughout the world are reporting an increasing number of imported malaria cases. It is now well documented that population movements play an important role in the spread and introduction of malaria infection in nonendemic areas. METHODS: We evaluated the contribution of imported malaria to the overall malaria burden of disease in an already endemic malaria region in Venezuela, where malaria is exclusively caused by Plasmodium vivax. To estimate the magnitude of this contribution, we retrospectively analyzed cases of imported malaria in Sucre, Venezuela, during a 10-year period (1987-1998). RESULTS: During this period, 1,755 (3.8% of the total) cases of imported malaria were identified. Most of these cases were imported from the Meridian states into Sucre. In Latin America, a major factor in the reemergence and spread of malaria is human migration. Surveillance of imported cases of malaria in Venezuela would allow us to continue evaluating population migration dynamics and its epidemiologic impact on malaria transmission. CONCLUSION: Enhanced surveillance, such as the one shown in this study, would help the early identification of nonindigenous Plasmodium species and also of resistant Plasmodium strains with a potential to spread locally. Population mobility and imported malaria cases may add to the magnitude of malaria burden in some regions of Latin America. Furthermore, malaria treatment guidelines at local and national levels need to incorporate imported malaria cases in their treatment algorithms and into chemoprophylactic recommendations for travelers.
Authors:
Alfonso J Rodríguez-Morales; Laura Delgado; Nestor Martínez; Carlos Franco-Paredes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of travel medicine     Volume:  13     ISSN:  1195-1982     ISO Abbreviation:  J Travel Med     Publication Date:    2006 Jan-Feb
Date Detail:
Created Date:  2006-01-17     Completed Date:  2006-05-09     Revised Date:  2009-07-07    
Medline Journal Info:
Nlm Unique ID:  9434456     Medline TA:  J Travel Med     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  15-20     Citation Subset:  IM    
Affiliation:
Centro Trujillano de Investigaciones Parasitológicas José Witremundo Torrealba, Núcleo Universitario Rafael Rangel, Universidad de Los Andes, Trujillo, Venezuela.
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MeSH Terms
Descriptor/Qualifier:
Cost of Illness*
Disease Transmission, Infectious / statistics & numerical data
Emigration and Immigration / statistics & numerical data*
Humans
Incidence
Malaria / diagnosis,  epidemiology*
Malaria, Falciparum / epidemiology
Malaria, Vivax / epidemiology
Population Surveillance / methods
Prevalence
Primary Prevention / organization & administration
Retrospective Studies
Travel / statistics & numerical data*
Venezuela / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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