title: Malaria remains a military medical problem.
abstract: OBJECTIVE
  To bring military medical problems concerning malaria to the attention of the Defence Medical Services.
  
  
  METHODS
  Seven military medical problems related to malaria are illustrated by cases referred for secondary assessment over the past five years. Each is discussed in relation to published data.
  
  
  RESULTS
  The cases of failure of various kinds of chemoprophylaxis, diagnosis and treatment of malaria may represent just a fraction of the magnitude of the overall problem but in the absence of reliable published military medical statistics concerning malaria cases, the situation is unclear.
  
  
  CONCLUSIONS
  Present experience suggests there are a number of persisting problems affecting the military population in relation to malaria. Only publication of reliable statistics will define their magnitude. Interim remedies are proposed whose cost-effectiveness remains to be established.
authors.affiliation: Royal Defence Medical College, Gosport, Hampshire, PO12 2AB. DrMikeWorld@cs.com
authors.forename: M J
authors.initials: MJ
authors.lastname: World
mesh_terms: D000328:Adult; D000818:Animals; D000962:Antimalarials / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D053626:Atovaquone; D002738:Chloroquine / Q000627:therapeutic use; D004338:Drug Combinations; D014943:Global Health; D006801:Humans; D007630:Kenya / Q000453:epidemiology; D016778:Malaria, Falciparum / Q000188:drug therapy* / Q000453:epidemiology / Q000517:prevention & control*; D016780:Malaria, Vivax / Q000188:drug therapy; D008297:Male; D015767:Mefloquine / Q000627:therapeutic use; D008887:Military Medicine; D008889:Military Personnel; D009285:Naphthoquinones / Q000627:therapeutic use; D010349:Patient Compliance; D010963:Plasmodium falciparum / Q000302:isolation & purification*; D010966:Plasmodium vivax / Q000302:isolation & purification; D002727:Proguanil / Q000627:therapeutic use; D012807:Sierra Leone / Q000453:epidemiology; D017211:Treatment Failure; D016896:Treatment Outcome; D006113:United Kingdom / Q000208:ethnology
chemical_list: D000962:Antimalarials; D004338:Drug Combinations; D009285:Naphthoquinones; C109496:atovaquone, proguanil drug combination; D002738:Chloroquine; D002727:Proguanil; D015767:Mefloquine; D053626:Atovaquone