Volume s1-20, Issue 4
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645


Summary and Conclusions

  • 1.  Falciparum malaria in the drug addict is an endemic disease in the New York metropolitan area.
  • 2.  Infection is direct from man to man and results from the practice of sharing common hypodermic syringes for intravenous heroin administration.
  • 3.  Clinically and pathologically the disease manifests all the characteristics of malaria as it occurs in the tropics including various cerebral, gastrointestinal, and hemoglobinuric syndromes.
  • 4.  The outstanding diagnostic feature is the history or evidence of drug addiction. On this evidence obscure acute syndromes in drug addicts warrant specific therapy until a diagnosis other than malaria is established. Repeated efforts to demonstrate malarial parasites in the peripheral blood should be made.
  • 5.  Early diagnosis and intensive therapy must coexist if a high mortality rate is to be avoided. Treatment should include an effective gametocidal drug to safeguard the health of non-immunes where malaria, suitable anophelines, or addicts are abundant.


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  • Received : 12 Jan 1940
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