Volume 70, Issue 4
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645


Two previous reviews summarized the New York Hospital experience with 110 cases of malaria from 1968 to 1990. We have extended these studies to include 59 cases of malaria seen from 1991 to 1999 and analyze trends over the past 30 years. remains the most common species, 38 (64%) of the 59 cases, with the majority of them, 34 (89%) of 38 cases, being acquired in Africa. Of the 59 cases, 22 (37%) were immigrants living in the United States who had visited their countries of origin. Only five (8%) of 59 patients reported using chemoprophylaxis. This represents a marked decrease from the previous reviews. None of the immigrants or their children used chemoprophylaxis. Diagnosis was prompt, and patients responded well to therapy. Complications of malaria were low and no deaths were reported, as was the case in the previous reviews. The low use of chemoprophylaxis, particularly among immigrants, is a major concern.


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  1. Centers for Disease Control and Prevention, 2002. Malaria surveillance - United States, 1999. Morb Mortal Wkly Rep 51 : 15–28.
    [Google Scholar]
  2. Schlagenhauf P, Steffen R, Loutan L, 2003. Migrants as a major risk group for imported malaria in European countries. J Travel Med 10 : 106–107.
    [Google Scholar]
  3. Kain KC, Harrington MA, Tennyson S, Keystone JS, 1998. Imported malaria: prospective analysis of problems in diagnosis and management. Clin Infect Dis 27 : 142–149.
    [Google Scholar]
  4. Seys SA, Bender JB, 2001. The changing epidemiology of malaria in Minnesota. Emerg Infect Dis 7 : 993–995.
    [Google Scholar]
  5. U.S. Department of Transportation, Bureau of Transportation Statistics, 2002. U.S. International Travel and Transportation Trends, BTS02-03. Washington, DC. Also available at http://www.bts.gov/publications/us_international_travel_and_transportation_trends/
  6. Kean BH, Reilly PC Jr, 1976. Malaria-the mime: recent lessons from a group of civilian travelers. Am J Med 61 : 159–164.
    [Google Scholar]
  7. Winters RA, Murray HW, 1992. Malaria-the mime revisited: fifteen more years of experience at a New York City teaching hospital. Am J Med 93 : 243–246.
    [Google Scholar]
  8. Centers for Disease Control and Prevention, 1999–2000. Health Information for International Travel, 1999–2000. Atlanta, GA: US Department of Health and Human Services, 115–117.
  9. Warrell DA, Molyneaux ME, Beales PF, 1990. Severe and complicated malaria. Trans R Soc Trop Med Hyg 82 82 (suppl 2): 1–65.
    [Google Scholar]
  10. Castelli F, Matteelli A, Caligaris S, Gulletta M, el-Hamad I, Scolari C, Chatel G, Carosi G, 1999. Malaria in migrants. Parassitologia 41 : 261–265.
    [Google Scholar]
  11. Centers for Disease Control and Prevention, 1999. Summary of notifiable diseases, United States, 1998. Morb Mortal Wkly Rep 47 : 1–93.
    [Google Scholar]
  12. Centers for Disease Control and Prevention, 2001. Malaria following inappropriate malaria chemoprophylaxis - United States, 2001. Morb Mortal Wkly Rep 50 : 597–599.
    [Google Scholar]
  13. Paxton LA, Slutsker L, Schultz LJ, Luby SP, Meriwether R, Matson P, Sulzer AJ, 1996. Imported malaria in Montagnard refugees settling in North Carolina: implications for prevention and control. Am J Trop Med Hyg 54 : 54–57.
    [Google Scholar]
  14. Keystone J, 2003–2004. VFRs: recent immigrants returning home to visit friends and relatives. Centers for Disease Control and Prevention Health Information for International Travel 2003–2004. Atlanta, GA: US Department of Health and Human Services, 240–242.

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  • Received : 20 Aug 2003
  • Accepted : 07 Nov 2003
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