Wednesday, April 8, 2015

         In the study that WHO conducted in 2001, malaria was ranked as the 8th highest contributor to global disease problems and was ranked as the 2nd highest contributor in Africa.

Deaths, 2000
DALYs from deaths, 2000
All causes
Malaria
All causes
Malaria
Region
Population
Thousands
Percent
Thousands
Percent
Malaria deaths as a percent-age of all deaths
Thousands
Percent
Thousands
Percent
Malaria DALYs as a percentage of all DALYs
World
6,122,211
56,554
100.0
1,124
100.0
2.00
1,467,257
100.0
42,279
100.0
2.90
Africa
655,476
10,681
18.9
963
85.7
9.00
357,884
24.4
36,012
85.2
10.10
Americas
837,967
5,911
10.5
1
<0.1
0.02
145,217
9.9
108
0.2
0.07
Eastern
493,091
4,156
7.3
55
4.9
1.30
136,221
9.3
2,050
4.8
1.50
Mediterranean
Europe
874,178
9,703
17.2
<1
<0.1
<0.010
151,223
10.3
20
0.04
0.01
Southeast Asia
1,559,810
14,467
25.6
95
8.5
0.70
418,844
28.5
3,680
8.7
0.90
Western Pacific
1,701,689
11,636
20.6
10
0.9
<0.09
257,868
17.6
409
1.0
0.20


















Source: Deaths and DALYs from Deaths Attributable to All Causes and to Malaria by WHO Region, 2000 


        Click on the website to view an interactive map which provides updates about Malaria endemicity globally: Malaria Interactive Map
     
        In the United States, malaria had been eliminated as one of the major public health concerns in the late 1940s by eradicating reservoirs that harbor infected mosquitoes and also by promoting prevention of transmission. Nevertheless, US communities are still at risk for re-emergence of malaria, mainly influenced by American travelers who may get infected abroad. US travelers going to high risk countries should have taken anti-malarial drugs to prevent infection. 
Country
Areas with Malaria
Estimated relative risk of Malaria for US Travelers2
Drug Resistance3
Malaria Species4
Recommended Chemoprophlaxis5
Key Information Needed and Helpful Links to Assess Need for Prophylaxis for Select Countries
Afghanistan
April–December in all areas at altitudes below 2,500 m (8,202 ft).
High6
Chloroquine
P. vivax 80-90%
P. falciparum 10-20%
Atovaquone-proguanil, doxycycline, or mefloquine
1) Month(s) of travel
2) City(ies) of travel
3) Altitude of city(ies) of travel
Altitude informationExternal Web Site Icon for Afghanistan
Albania
None
None
Not Applicable
Not Applicable
Not Applicable
Algeria
Rare indigenous cases
No information
Chloroquine
P. falciparum, P. vivax
Mosquito avoidance only.
American Samoa (U.S.)
None
None
Not Applicable
Not Applicable
Not Applicable
Andorra
None
None
Not Applicable
Not Applicable
Not Applicable
Angola
All
Moderate
Chloroquine
P. falciparum 90%
P. ovale 5%
P. vivax 5%
Atovaquone-proguanil, doxycycline, or mefloquine
Anguilla (U.K.)
None
None
Not Applicable
Not Applicable
Not Applicable
Antarctica
None
None
Not Applicable
Not Applicable
Not Applicable
Antigua and Barbuda
None
None
Not Applicable
Not Applicable
Not Applicable
Argentina
None
None
Not applicable
Not applicable
Not applicable

Armenia
None
None
Not Applicable
Not Applicable
Not Applicable
Aruba
None
None
Not Applicable
Not Applicable
Not Applicable
Australia
None
None
Not Applicable
Not Applicable
Not Applicable
Austria
None
None
Not Applicable
Not Applicable
Not Applicable
Azerbaijan
May–October in rural areas below 1,500 m (4,921 ft). None in Baku.
Very Low
None
P. vivax 100%
Mosquito avoidance only
1) Month(s) of travel
2) City(ies) of travel
3) Altitude of city(ies) of travel
Altitude informationExternal Web Site Icon for Azerbaijan
Azores (Portugal)
None
None
Not Applicable
Not Applicable
Not Applicable

Note that the data on the table is based on malaria cases that occured among US military personnel who travel to itineraries that do no reflect that of those of average travelers.
        Aside from US travelers, high-risk groups include young children who have underdeveloped immunity against infections and pregnant women whose immunity is decreased during pregnancy. There are areas (e.g. Latin America and Asia) that have lower risks for transmission of malaria. Hence, there are people who have reached adulthood without developing partial immunity to Malaria. These people are at great risk for being infected when exposed and may also experience fatal symptoms and illness. 

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