Evidence map›Paper›PMID 28593051›Full record

ArticleMilitary Medical Research2017

The need for preventive and curative services for malaria when the military is deployed in endemic overseas territories: a case study and lessons learned.

Sumadhya Deepika Fernando, Rahuman Booso, Priyani Dharmawardena, Arunagirinathan Harintheran, Kugapiriyan Raviraj, Chaturaka Rodrigo, Manjula Danansuriya, Rajitha Wickremasinghe

Abstract read
In one paragraph

Article in Military Medical Research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sumadhya Deepika FernandoDepartment of Parasitology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Rahuman BoosoDirectorate of Health Services, Sri Lanka Air Force, Colombo, Sri Lanka.
Priyani DharmawardenaAnti-Malaria Campaign, Ministry of Health, 555/5 Public Health Complex, Narahenpita, Colombo, 5 Sri Lanka.
Arunagirinathan HarintheranDepartment of Parasitology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Kugapiriyan RavirajDepartment of Parasitology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Chaturaka RodrigoDepartment of Pathology, School of Medical Sciences, University of New South Wales, Sydney, NSW 2052 Australia.ORCID 0000-0003-2189-9177
Manjula DanansuriyaAnti-Malaria Campaign, Ministry of Health, 555/5 Public Health Complex, Narahenpita, Colombo, 5 Sri Lanka.
Rajitha WickremasingheDepartment of Public Health, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSri Lanka has been free from indigenous malaria since November 2012 and received the WHO certificate for malaria-free status in September 2016. Due to increased global travel, imported malaria cases continue to be reported in the country. Military personnel returning home from international peace-keeping missions in malaria endemic countries represent a key risk group in terms of imported malaria. The present study intended to characterize the potential causes of a malaria outbreak among the Sri Lankan security forces personnel deployed in the Central African Republic (CAR).

methodsData were collected from a cross-sectional survey distributed among Sri Lankan Air Force personnel who had returned from United Nations peace-keeping missions in the CAR region. A pre-tested questionnaire was used for the data collection, and focus group discussions were also conducted.

resultsOne hundred twenty male Air Force personnel were interviewed (out of a group of 122 officers and airmen). All participants were deployed in the CAR for 14 months and were aware of the existence of chemoprophylaxis against malaria. The majority of the subjects (92.5%, 111/120) also knew that prophylaxis should be started prior to departure. However, the regular use of chemoprophylaxis was reported by only 61.7% (74/120) of the sample. Overall, 30.8% of the participants (37/120) had 44 symptomatic episodes of malaria during deployment, and one person succumbed to severe malaria. All cases were associated with noncompliance with chemoprophylaxis.

conclusionBetter coordination with overseas healthcare services and the establishment of directly observed chemoprophylaxis may help to avoid similar outbreaks in the future.

Indexed as

AntimalarialsCase-Control StudiesCentral African RepublicChemopreventionCross-Sectional StudiesDisease OutbreaksEndemic DiseasesFocus GroupsHumansMalariaMilitary PersonnelPlasmodium falciparumPlasmodium vivaxRisk FactorsSri LankaSurveys and QuestionnairesAntimalarialsCentral African RepublicChemoprophylaxisImported malariaSecurity forcesSri Lanka

Identifiers

PMID28593051
PMCPMC5460350

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.