What clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in Sri Lanka
Abstract Following progressive reduction in confirmed cases of malaria from 2002 to 2007 (41,411 cases in 2002, 10,510 cases in 2003, 3,720 cases in 2004, 1,640 cases in 2005, 591 cases in 2006, and 198 cases in 2007). Sri Lanka entered the pre-elimination stage of malaria in 2008. One case of indig...
Published in: | Malaria Journal |
---|---|
Main Authors: | , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2011
|
Subjects: | |
Online Access: | https://doi.org/10.1186/1475-2875-10-302 https://doaj.org/article/7e98c76473d249baa9350381587012f6 |
id |
ftdoajarticles:oai:doaj.org/article:7e98c76473d249baa9350381587012f6 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:7e98c76473d249baa9350381587012f6 2023-05-15T15:11:57+02:00 What clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in Sri Lanka Nawasiwatte Thusha Fernando Roshanthi Chandrasena Nilmini Galappaththy Gowrie Premaratna Ranjan de Silva Nilanthi R de Silva H Janaka 2011-10-01T00:00:00Z https://doi.org/10.1186/1475-2875-10-302 https://doaj.org/article/7e98c76473d249baa9350381587012f6 EN eng BMC http://www.malariajournal.com/content/10/1/302 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-10-302 1475-2875 https://doaj.org/article/7e98c76473d249baa9350381587012f6 Malaria Journal, Vol 10, Iss 1, p 302 (2011) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2011 ftdoajarticles https://doi.org/10.1186/1475-2875-10-302 2022-12-31T08:48:07Z Abstract Following progressive reduction in confirmed cases of malaria from 2002 to 2007 (41,411 cases in 2002, 10,510 cases in 2003, 3,720 cases in 2004, 1,640 cases in 2005, 591 cases in 2006, and 198 cases in 2007). Sri Lanka entered the pre-elimination stage of malaria in 2008. One case of indigenous malaria and four other cases of imported malaria are highlighted here, as the only patients who presented to the Professorial Medical Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka over the past eight years, in contrast to treating several patients a week about a decade ago. Therefore, at the eve of elimination of malaria from Sri Lanka, it is likely that the infection is mostly encountered among travellers who return from endemic areas, or among the military who serve in un-cleared areas of Northern Sri Lanka. They may act as potential sources of introducing malaria as until malaria eradication is carried out. These cases highlight that change in the symptomatology, forgetfulness regarding malaria as a cause of acute febrile illness and deterioration of the competency of microscopists as a consequence of the low disease incidence, which are all likely to contribute to the delay in the diagnosis. The importance regarding awareness of new malaria treatment regimens, treatment under direct observation, prompt notification of suspected or diagnosed cases of malaria and avoiding blind use of anti-malarials are among the other responsibilities expected of all clinicians who manage patients in countries reaching malaria elimination. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Colombo ENVELOPE(-144.733,-144.733,-76.517,-76.517) Malaria Journal 10 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Nawasiwatte Thusha Fernando Roshanthi Chandrasena Nilmini Galappaththy Gowrie Premaratna Ranjan de Silva Nilanthi R de Silva H Janaka What clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in Sri Lanka |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Following progressive reduction in confirmed cases of malaria from 2002 to 2007 (41,411 cases in 2002, 10,510 cases in 2003, 3,720 cases in 2004, 1,640 cases in 2005, 591 cases in 2006, and 198 cases in 2007). Sri Lanka entered the pre-elimination stage of malaria in 2008. One case of indigenous malaria and four other cases of imported malaria are highlighted here, as the only patients who presented to the Professorial Medical Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka over the past eight years, in contrast to treating several patients a week about a decade ago. Therefore, at the eve of elimination of malaria from Sri Lanka, it is likely that the infection is mostly encountered among travellers who return from endemic areas, or among the military who serve in un-cleared areas of Northern Sri Lanka. They may act as potential sources of introducing malaria as until malaria eradication is carried out. These cases highlight that change in the symptomatology, forgetfulness regarding malaria as a cause of acute febrile illness and deterioration of the competency of microscopists as a consequence of the low disease incidence, which are all likely to contribute to the delay in the diagnosis. The importance regarding awareness of new malaria treatment regimens, treatment under direct observation, prompt notification of suspected or diagnosed cases of malaria and avoiding blind use of anti-malarials are among the other responsibilities expected of all clinicians who manage patients in countries reaching malaria elimination. |
format |
Article in Journal/Newspaper |
author |
Nawasiwatte Thusha Fernando Roshanthi Chandrasena Nilmini Galappaththy Gowrie Premaratna Ranjan de Silva Nilanthi R de Silva H Janaka |
author_facet |
Nawasiwatte Thusha Fernando Roshanthi Chandrasena Nilmini Galappaththy Gowrie Premaratna Ranjan de Silva Nilanthi R de Silva H Janaka |
author_sort |
Nawasiwatte Thusha |
title |
What clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in Sri Lanka |
title_short |
What clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in Sri Lanka |
title_full |
What clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in Sri Lanka |
title_fullStr |
What clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in Sri Lanka |
title_full_unstemmed |
What clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in Sri Lanka |
title_sort |
what clinicians who practice in countries reaching malaria elimination should be aware of: lessons learnt from recent experience in sri lanka |
publisher |
BMC |
publishDate |
2011 |
url |
https://doi.org/10.1186/1475-2875-10-302 https://doaj.org/article/7e98c76473d249baa9350381587012f6 |
long_lat |
ENVELOPE(-144.733,-144.733,-76.517,-76.517) |
geographic |
Arctic Colombo |
geographic_facet |
Arctic Colombo |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 10, Iss 1, p 302 (2011) |
op_relation |
http://www.malariajournal.com/content/10/1/302 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-10-302 1475-2875 https://doaj.org/article/7e98c76473d249baa9350381587012f6 |
op_doi |
https://doi.org/10.1186/1475-2875-10-302 |
container_title |
Malaria Journal |
container_volume |
10 |
container_issue |
1 |
_version_ |
1766342724500324352 |