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Malaria Protection of the International Traveler

Published online by Cambridge University Press:  21 June 2016

M. Sigfrido Rangel-Frausto  and
Michael B. Edmond
M. Sigfrido Rangel-Frausto
Affiliation:
Department of Internal Medicine, Division of General Medicine, Clinical Epidemiology, and Health Services Research, University of Iowa College of Medicine, Iowa City, Iowa
Michael B. Edmond*
Affiliation:
Department of Internal Medicine, Division of General Medicine, Clinical Epidemiology, and Health Services Research, University of Iowa College of Medicine, Iowa City, Iowa
*
C31H GH, University of Iowa Hospitals and Clinics, Iowa City, IA 52242
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Extract

Although isolated cases of malaria still may be acquired in the United States,’ imported cases in international travelers are primarily responsible for approximately 1,000 cases reported annually to the Centers for Disease Control and Prevention (CDC). In the decade ending in 1988, more than 50 malaria-associated deaths were reported, most of them theoretically preventable. Moreover, it is estimated that only 30% to 60% of malaria cases are actually reported to the CDC.

In recent years, an increase in infections due to Plasmodium falciparum, which accounts for the most severe form of malaria, has been noted. This increase is multifactorial in origin and is associated with an increase in travel to malarious areas, difficulties with chemoprophylaxis (including compliance and adverse effects), and increasing resistance to multiple antimalarial agents. Thus, careful counseling of the traveler and appropriate chemoprophylaxis remain vitally important.

Type
Emporiatrics
Information
Infection Control & Hospital Epidemiology , Volume 14 , Issue 3 , March 1993 , pp. 155 - 160
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1993

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