Investigation of a sudden malaria outbreak in the isolated Amazonian village of Saul, French Guiana, January-April 2009.Reportar como inadecuado




Investigation of a sudden malaria outbreak in the isolated Amazonian village of Saul, French Guiana, January-April 2009. - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

* Corresponding author 1 Institut Pasteur de la Guyane 2 Cellule Interrégionale d-Epidémiologie Antilles-Guyane 3 Laboratoire de Parasitologie Mycologie 4 Cellule Interrégionale d-Epidémiologie Antilles-Guyane 5 Agence Régionale de Santé de Guyane 6 Direction de la Démoustication et des Actions Sanitaires 7 Département des Centres de Santé

Abstract : Malaria is endemic in French Guiana. Plasmodium falciparum and Plasmodium vivax are the predominant species responsible and Anopheles darlingi is described as the major vector. In mid-August 2008, an increase in malaria incidence was observed in Saül. A retrospective cohort survey was performed. In vitro susceptibility profiles to antimalarials were determined on P. falciparum isolates. Collections of mosquitoes were organized. The malaria attack rate reached 70.6-100. The risk of malaria increased for people between 40 and 49 years of age, living in a house not subjected to a recent indoor residual insecticide spraying or staying overnight in the surrounding forest. All isolates were susceptible. Anopheles darlingi females and larvae were collected in the village suggesting a local transmission. Our results strongly support a role of illegal mining activities in the emergence of new foci of malaria. Therefore, public health authorities should define policies to fight malaria at a transborder level.





Autor: Franck Berger - Claude Flamand - Lise Musset - Félix Djossou - Jacques Rosine - Marie-Anne Sanquer - Isabelle Dusfour - Eric Leg

Fuente: https://hal.archives-ouvertes.fr/



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