ArticlePloS one2019
Study of the epidemiological behavior of malaria in the Darien Region, Panama. 2015-2017.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Eosinophilia and Select Parasitic Infections Among People Seeking Humanitarian Protections in the United States After Travel Through the Darién Jungle: A Multicenter Cross-sectional Study.Open forum infectious diseases · 2025Article
- Article
- Article
- Malaria surveillance and case management in remote and indigenous communities of Panama: results from a community-based health worker pilot.Malaria journal · 2022Article
- Study of epidemiological behaviour of malaria and its control in the Purulia district of West Bengal, India (2016-2020).Scientific reports · 2022Article
- Anopheles drivers of persisting malaria transmission in Guna Yala, Panamá: an operational investigation.Malaria journal · 2021Article
- Article
- Natural malaria infection in anophelines vectors and their incrimination in local malaria transmission in Darién, Panama.PloS one · 2021Article
- Population genomics of Plasmodium vivax in Panama to assess the risk of case importation on malaria elimination.PLoS neglected tropical diseases · 2020Article
- Article
- Long-term transmission patterns and public health policies leading to malaria elimination in Panamá.Malaria journal · 2020Article
- Malaria in the eco-epidemiological region of the Colombian Caribbean, 1960-2019.Revista peruana de medicina experimental y salud publicaArticle
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Authors and funding
6 authors.
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Abstract
backgroundMalaria is endemic in Darién and an assessment of the different factors affecting its epidemiology is crucial for the development of adequate strategies of surveillance, prevention, and disease control. The objective of this study was to determine the main characteristics of the epidemiological behavior of malaria in the Darien region.
methodsThis research was comprised of a retrospective analysis to determine the incidence and malaria distribution in the Darien region from 2015 to 2017. We evaluated malaria indicators, disease distribution, incidence (by age group and sex), diagnostic methods, treatment, and control measures. In addition, we examined the cross-border migration activity and its possible contribution to the maintenance and distribution of malaria.
resultsDuring the period of 2015-2017, we examined 41,141 thick blood smear samples, out of which 501 tested positive for malaria. Plasmodium vivax was responsible for 92.2% of those infections. Males comprised 62.7% of the total diagnosed cases. Meanwhile, a similar percentage, 62.7%, of the total cases were registered in economically active ages. The more frequent symptoms included fever (99.4%) and chills (97.4%), with 53.1% of cases registering between 2,000 and 6,000 parasites/μl of blood. The annual parasitic incidence (API) average was 3.0/1,000 inhabitants, while the slide positivity rate (SPR) was 1.2% and the annual blood examination rate (ABER) 22.5%. In Darién there is a constant internal and cross-border migration movement between Panama and Colombia. Malaria control measures consisted of the active and passive search of suspected cases and of the application of vector control measures.
conclusionThis study provides an additional perspective on malaria epidemiology in Darién. Additional efforts are required to intensify malaria surveillance and to achieve an effective control, eventually moving closer to the objective of malaria elimination. At the same time, there is a need for more eco-epidemiological, entomological and migratory studies to determine how these factors contribute to the patterns of maintenance and dissemination of malaria.
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