Imported malaria (1985-95): trends and perspectives.

摘要: Malaria is frequently imported into nonendemic industrialized areas. In this study we collated data on the reported malaria cases in countries during period 1985-95, with object of identifying trends and promising strategies. The main outcome measures were incidence, case-fatality rates (CFRs), attack tourists returning from Kenya. Our survey showed gross underreporting marked heterogeneity type availability national data. total incidence or numbers infections Europe increased 6840 1985 to 7244 1995, a peak 8438 1989. principal importing France, Germany, Italy, United Kingdom. former USSR, annual dropped 1145 1989 356 1990 after cessation activities Afghanistan. Among species parasite, Plasmodium falciparum was identified an increasing proportion, CFR ranging 0% 3.6%, consistently high Germany. among travellers Kenya 1990-95 high, 18 207 per 100,000 travellers. findings indicate that associated remains public health problem. Irregular surveillance lack homogeneity collected hinder assessment incidences, risk groups, efficacy chemoprophylaxis.