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Trend analysis of imported malaria in London; observational study 2000 to 2014.
Travel Med Infect Dis ; 17: 35-42, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28456684
ABSTRACT

BACKGROUND:

We describe trends of malaria in London (2000-2014) in order to identify preventive opportunities and we estimated the cost of malaria admissions (2009/2010-2014/2015).

METHODS:

We identified all cases of malaria, resident in London, reported to the reference laboratory and obtained hospital admissions from Hospital Episode Statistics.

RESULTS:

The rate of malaria decreased (19.4[2001]-9.1[2014] per 100,000). Males were over-represented (62%). Cases in older age groups increased overtime. The rate was highest amongst people of Black African ethnicity followed by Indian, Pakistani, Bangladeshi ethnicities combined (103.3 and 5.5 per 100,000, respectively). The primary reason for travel was visiting friends and relatives (VFR) in their country of origin (69%), mostly sub-Saharan Africa (92%). The proportion of cases in VFRs increased (32%[2000]-50%[2014]) and those taking chemoprophylaxis decreased (36%[2000]-14%[2014]). The overall case fatality rate was 0.3%. We estimated the average healthcare cost of malaria admissions to be just over £1 million per year.

CONCLUSION:

Our study highlighted that people of Black African ethnicity, travelling to sub-Saharan Africa to visit friends and relatives in their country of origin remain the most affected with also a decline in chemoprophylaxis use. Malaria awareness should focus on this group in order to have the biggest impact but may require new approaches.
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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Viaje / Malaria Tipo de estudio: Evaluación económica en salud Aspecto clínico: Terapia Límite: Adolescente / Adulto / Femenino / Humanos / Masculino / Media edad / Joven adulto País/Región como asunto: Africa / Europa Idioma: Inglés Revista: Travel Med Infect Dis Asunto de la revista: Enfermedades Transmisibles Año: 2017 Tipo del documento: Artículo País de afiliación: Reino Unido