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© Research
Publication : The American journal of tropical medicine and hygiene

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

Scientific Fields
Diseases
Organisms
Applications
Technique

Published in The American journal of tropical medicine and hygiene - 01 Apr 2012

Berger F, Flamand C, Musset L, Djossou F, Rosine J, Sanquer MA, Dusfour I, Legrand E, Ardillon V, Rabarison P, Grenier C, Girod R,

Link to Pubmed [PMID] – 22492141

Link to HAL – Click here

Link to DOI – 10.4269/ajtmh.2012.11-0582

Am J Trop Med Hyg 2012 Apr; 86(4): 591-7

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.