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Published Date: 2018-12-03 09:59:38
Subject: PRO/AH> Malaria - Dominican Republic (03): autochthonous & imported
Archive Number: 20181203.6177037
MALARIA - DOMINICAN REPUBLIC (03): AUTOCHTHONOUS AND IMPORTED
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Date: Sat 1 Dec 2018
Sources: http://outbreaknewstoday.com/dominican-republic-reports-increase-malaria-45684/



Health officials in the Dominican Republic are reporting an increase in malaria cases in 2018.

According to a Diario Salud report [computer translated], 438 cases have been reported year to date compared to just 360 during the same period in 2017.

92 percent of the malaria cases were due to _Plasmodium falciparum_ and the remainder were _P. vivax_ or mixed infections.

One death has been reported.

In the last month, 31 cases of malaria have been reported, of these, 27 are indigenous and 4 are imported, 3 from Venezuela and one from Guyana.

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Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>

[Autochthonous malaria has been reported from the Dominican Republic over the past 15 years, documented especially by malaria in returning visitors. The main problem is the proximity to Haiti, where malaria is endemic, and asymptomatic carriers from Haiti start local transmission in the Dominican Republic. One solution could be screening upon arrival, or if that is not possible, a course of treatment for instance with artemether/lumefantrine upon arrival, ending with a single dose of primaquine to inactivate gametocytes, as recommended by WHO (Policy brief on single-dose primaquine as a gametocytocide in _Plasmodium falciparum_ malaria. WHO, Geneva January 2015; https://www.who.int/malaria/publications/atoz/policy-brief-single-dose-primaquine-pf/en/). - Mod.EP

HealthMap/ProMED map available at:
Dominican Republic: http://healthmap.org/promed/p/24]

See Also

Malaria - Dominican Republic (02): (Santo Domingo) autochthonous 20180917.6033574
Malaria - Dominican Republic: (Santo Domingo) autochthonous 20180801.5940231
2016
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Malaria, P. falciparum - Germany: ex Dominican Republic, RFI 20160629.4315462
2015
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Malaria - Puerto Rico ex Dominican Republic: susp, RFI 20150809.3567189
Malaria - Dominican Republic: (SD) susp, RFI: 20150209.3152040
2008
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Malaria, falciparum - Canada ex Dominican Rep. (Punta Cana) (02) 20080220.0690
Malaria, falciparum - Canada ex Dominican Rep. (Punta Cana) 20080219.0670
2006
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Malaria - Spain ex Dominican Republic: RFI 20061227.3623
2005
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Malaria - Dominican Republic (La Altagracia) (05) 20051015.3000
Malaria ex Dominican Republic (04) 20050515.1332
2004
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Malaria ex Dominican Republic (02) 20041211.3282
Malaria ex Dominican Republic 20041202.3217
Malaria, imported - Europe ex Dominican Rep. 20041128.3176
2001
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Malaria - Italy ex Dominican Republic 20010604.1101
2000
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Malaria - Dominican Republic: update (02) 20000310.0326
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