title: Malaria in the Republic of Djibouti, 1998-2009.
abstract: Historically, native populations in the Republic of Djibouti have experienced only low and unstable malaria transmission and intermittent epidemics. In recent years, efforts at malaria control have been aggressively pursued. This study was performed to inform revised malaria prevention recommendations for military service members and international travelers to the country. Laboratory-confirmed cases of malaria documented at large medical facilities and within military and civilian health care systems in the Republic of Djibouti from 1998 to 2009 were reviewed. In recent years, fewer than 5% of febrile cases among the three largest passive surveillance systems were laboratory-confirmed as malaria, and incidence of confirmed malaria was well below 1/1,000 persons/year. As efforts in the Republic of Djibouti progress toward elimination, and in conjunction with continued efforts at surveillance, emphasizing mosquito-avoidance measures and standby emergency treatment will become reasonable recommendations for malaria prevention.
authors: Direction Centrale du Service de Santé des Armées, Paris, France. livier@hotmail.com
authors: Lénaïck
authors: L
authors: Ollivier
authors: Remington L
authors: RL
authors: Nevin
authors: Houssein Y
authors: HY
authors: Darar
authors: Jacques
authors: J
authors: Bougère
authors: Moustapha
authors: M
authors: Saleh
authors: Stéphane
authors: S
authors: Gidenne
authors: Jérôme
authors: J
authors: Maslin
authors: Dietmar
authors: D
authors: Anders
authors: Christophe
authors: C
authors: Decam
authors: Alain
authors: A
authors: Todesco
authors: Bouh A
authors: BA
authors: Khaireh
authors: Ammar A
authors: AA
authors: Ahmed
mesh_terms: D000962:Antimalarials / Q000627:therapeutic use*; D015730:Djibouti / Q000453:epidemiology; D005602:France; D006801:Humans; D008288:Malaria / Q000188:drug therapy / Q000453:epidemiology*; D008889:Military Personnel; D011159:Population Surveillance; D014481:United States
chemical_list: D000962:Antimalarials