Evidence map›Paper›PMID 38591791›Full record

SynthesisJournal of travel medicine2024

Malaria cases in China acquired through international travel, 2013-2022.

Yan Zhu, Angela Cadavid Restrepo, Hai-Bo Wang, Deborah J Mills, Rong-Rong Liang, Zhi-Bin Liu, Colleen L Lau, Luis Furuya-Kanamori

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of travel medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Spatiotemporal Dynamics ofChina CDC weekly · 2026
    Article
  3. Parasite epidemiology and control · 2026
    Article
  4. Article
  5. Article
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  7. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Yan ZhuUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Building 71/918 RBWH Herston, Brisbane, QLD 4029, Australia.ORCID 0009-0009-9479-8175
Angela Cadavid RestrepoUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Building 71/918 RBWH Herston, Brisbane, QLD 4029, Australia.
Hai-Bo WangZhuhai International Travel Healthcare Center of China Customs, 133 Qiaoguang Rd, Xiangzhou District, Zhuhai, 519000, China.
Deborah J MillsDr Deb The Travel Doctor, Travel Medicine Alliance, 5/247 Adelaide St, Brisbane, QLD 4000, Australia.
Rong-Rong LiangGuangzhou International Travel Healthcare Center of China Customs, 207 Longkou West Rd, Tianhe District, GuangZhou, 510635, China.
Zhi-Bin LiuFangshan District Center for Disease Control and Prevention, 1 Baiyang East Rd, Fangshan District, Beijing, 102401, China.
Colleen L LauUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Building 71/918 RBWH Herston, Brisbane, QLD 4029, Australia.
Luis Furuya-KanamoriUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Building 71/918 RBWH Herston, Brisbane, QLD 4029, Australia.

Funding

China Scholarship Council 202203200013NHMRC Investigator APP1193826
6 · The paper itself

Abstract

backgroundDespite the World Health Organization certifying China malaria-free in 2021, the risk of local transmission caused by imported malaria cases remains a significant clinical and public health issue. It is necessary to present the changing trends of malaria in China and discuss the role of travel medicine services in consolidating malaria elimination.

methodsThis study systematically reviewed articles and reports related to human malaria from 2013 to 2022 published in international and Chinese databases. Data on malaria (i.e. number of cases, Plasmodium spp., diagnostic method, country of acquisition, provinces with high risk of re-introduction and transmission) were collected and synthesized, then summarized using descriptive statistics.

resultsOverall, 24 758 cases of malaria (>99.5% laboratory confirmed, > 99.2% imported, 0.5% fatal) were reported in China from 2013 to 2022, with a downward trend over the years (4128 cases in 2013 compared to 843 cases in 2022; χ2 trend P = 0.005). The last locally acquired case was reported in 2017. Plasmodium falciparum (65.5%) was the most common species identified, followed by P. vivax (20.9%) and P. ovale (10.0%). Two P. knowlesi cases were also identified in 2014 and 2017 in returned travellers from Malaysia and Indonesia, respectively. The most common countries for malaria acquisition were Ghana, Angola and Myanmar. Plasmodium vivax was mainly detected in returned travellers from Myanmar, while P. falciparum and P. ovale were detected in travellers from sub-Saharan Africa. Imported cases were mainly reported in Yunnan, Jiangsu, Sichuan, Guangxi, Shandong, Zhejiang and Henan provinces, where large numbers of Chinese people travel overseas for work.

conclusionReturned travellers from malaria-endemic countries pose a significant risk of malaria re-introduction to China. Travel medicine should be strengthened to improve the capacity and accessibility of both pre- and post-travel services, including malaria prophylaxis and prompt diagnosis of illness in returned travellers.

Indexed as

MalariaTravelChinaCommunicable Diseases, ImportedHumansTravel Medicinedisease surveillanceMalariatravel medicine

Identifiers

PMID38591791
PMCPMC11646087

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.