Imported malaria in a cosmopolitan European city: A mirror image of the world epidemiological situation
2008

Imported Malaria in Barcelona: Trends and Epidemiology

Sample size: 1579 publication 10 minutes Evidence: moderate

Author Information

Author(s): Juan Pablo Millet, Patricia Garcia de Olalla, Paloma Carrillo-Santisteve, Joaquim Gascón, Begoña Treviño, José Muñoz, Jordi Gómez i Prat, Juan Cabezos, Anna González Cordón, Joan A Caylà

Primary Institution: Public Health Agency of Barcelona

Hypothesis

The study aims to describe the epidemiology and determine the trends of imported malaria cases in Barcelona.

Conclusion

There is an increase in malaria incidence in Barcelona, but the trend is not statistically significant.

Supporting Evidence

  • 997 out of 1,579 cases were residents of Barcelona.
  • 40.7% of cases were visiting friends and relatives (VFR).
  • 71.3% of malaria cases were caused by Plasmodium falciparum.
  • 96.6% of patients did not complete chemoprophylaxis.
  • Six deaths were reported, all among tourists who did not take chemoprophylaxis.

Takeaway

The study looked at malaria cases in Barcelona and found that many people who got sick didn't take their medicine to prevent it.

Methodology

Analysis of malaria cases notified among city residents from 1989 to 2005, using statistical tests to analyze trends and associations.

Potential Biases

Potential underreporting of cases due to reliance on notifications from doctors.

Limitations

22% of patients could not be assigned to a specific group due to missing data.

Participant Demographics

63.1% of cases were Barcelona residents, with a mean age of 32.7 years and 55.1% male.

Statistical Information

P-Value

0.36

Confidence Interval

CI: 1.36–1.55

Statistical Significance

p = 0.36

Digital Object Identifier (DOI)

10.1186/1475-2875-7-56

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