The growing popularity of travel to the tropics (more than 9million tourists arrive in Africa each year and more than 32million in Asia and the southwestern Pacific region1) is placingan increasing number of travelers at risk for acquiring malaria.The number of cases of imported malaria reported annually tohealth authorities (approximately 1000 in the United Statesand several thousand in Europe) underestimates the problem,2,3in large part because it does not include travelers who becomesick while abroad. Delayed diagnosis and inadequate treatmentof imported cases of malaria caused by Plasmodium falciparumhave resulted in . . . [Full Text of this Article]
The Life Cycle of Plasmodium
Estimating the Risk of Malaria in Travelers
Malaria Prophylaxis: High Levels of Confusion and Low Levels of Compliance
Strategies for Malaria Prevention
Antimosquito Measures
Chemoprophylactic Regimens
Mefloquine
Doxycycline
Chloroquine
Chloroguanide Hydrochloride
Primaquine
Other Prophylactic Regimens and Self-Treatment Agents
Pyrimethamine-Sulfadoxine and Pyrimethamine-Dapsone Combinations
Halofantrine
Prophylaxis in Pregnant Women and Children
The Future
Source Information
From the Division of Geographic Medicine and Infectious Diseases, Department of Medicine, New England Medical Center Hospital and Tufts University School of Medicine, Boston.
Address reprint requests to Dr. Wyler at the New England Medical Center Hospitals, 750 Washington St., Box 041, Boston, MA 02111.
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