title: Imported Falciparum malaria in Europe: sentinel surveillance data from the European network on surveillance of imported infectious diseases.
abstract: Malaria continues to have a high morbidity rate associated among European travelers. Thorough recording of epidemiological and clinical aspects of imported malaria has been helpful in the detection of new outbreaks and areas of developing drug resistance. Sentinel surveillance of data collected prospectively since 1999 has begun within TropNetEurop, a European network focusing on imported infectious diseases. TropNetEurop appears to cover approximately 10% of all patients with malaria seen in Europe. Reports of 1659 immigrants and European patients with Plasmodium falciparum malaria were analyzed for epidemiological information and data on clinical features. Regional data were quite diverse, reflecting local patterns of immigration and international travel. By far, the most infections were imported from West Africa. Europeans had more clinical complications; consequently, all deaths occurred in this group. Compared with European standards, the mortality rate was low (0.6% in Europeans). Data from TropNetEurop member sites can contribute to our understanding of the epidemiological and clinical findings regarding imported falciparum malaria.
authors.affiliation: Department of Infectious Diseases and Tropical Medicine, University of Munich, 80802 Munich, Germany. jelinek@lrz.uni-muenchen.de
authors.forename: T
authors.initials: T
authors.lastname: Jelinek
authors.forename: C
authors.initials: C
authors.lastname: Schulte
authors.forename: R
authors.initials: R
authors.lastname: Behrens
authors.forename: M P
authors.initials: MP
authors.lastname: Grobusch
authors.forename: J P
authors.initials: JP
authors.lastname: Coulaud
authors.forename: Z
authors.initials: Z
authors.lastname: Bisoffi
authors.forename: A
authors.initials: A
authors.lastname: Matteelli
authors.forename: J
authors.initials: J
authors.lastname: Clerinx
authors.forename: M
authors.initials: M
authors.lastname: Corachán
authors.forename: S
authors.initials: S
authors.lastname: Puente
authors.forename: I
authors.initials: I
authors.lastname: Gjørup
authors.forename: G
authors.initials: G
authors.lastname: Harms
authors.forename: H
authors.initials: H
authors.lastname: Kollaritsch
authors.forename: A
authors.initials: A
authors.lastname: Kotlowski
authors.forename: A
authors.initials: A
authors.lastname: Björkmann
authors.forename: J P
authors.initials: JP
authors.lastname: Delmont
authors.forename: J
authors.initials: J
authors.lastname: Knobloch
authors.forename: L N
authors.initials: LN
authors.lastname: Nielsen
authors.forename: J
authors.initials: J
authors.lastname: Cuadros
authors.forename: C
authors.initials: C
authors.lastname: Hatz
authors.forename: J
authors.initials: J
authors.lastname: Beran
authors.forename: M L
authors.initials: ML
authors.lastname: Schmid
authors.forename: M
authors.initials: M
authors.lastname: Schulze
authors.forename: R
authors.initials: R
authors.lastname: Lopez-Velez
authors.forename: K
authors.initials: K
authors.lastname: Fleischer
authors.forename: A
authors.initials: A
authors.lastname: Kapaun
authors.forename: P
authors.initials: P
authors.lastname: McWhinney
authors.forename: P
authors.initials: P
authors.lastname: Kern
authors.forename: J
authors.initials: J
authors.lastname: Atougia
authors.forename: G
authors.initials: G
authors.lastname: Fry
authors.forename: S
authors.initials: S
authors.lastname: da Cunha
authors.forename: G
authors.initials: G
authors.lastname: Boecken
mesh_terms: D000293:Adolescent; D000328:Adult; D000349:Africa / Q000453:epidemiology; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003141:Communicable Diseases / Q000453:epidemiology / Q000635:transmission; D005060:Europe / Q000453:epidemiology; D006801:Humans; D007223:Infant; D016778:Malaria, Falciparum / Q000453:epidemiology* / Q000401:mortality / Q000635:transmission; D008875:Middle Aged; D009017:Morbidity; D018571:Sentinel Surveillance; D014195:Travel