Haiti's Ministry of Public Health and Population collaborated with global partners to enhance malaria surveillance in two disaster-affected areas within 3 months of the January 2010 earthquake. Data were collected between March 4 and April 9, 2010 by mobile medical teams. Malaria rapid diagnostic tests (RDTs) were used for case confirmation. A convenience sample of 1,629 consecutive suspected malaria patients was included. Of these patients, 1,564 (96%) patients had malaria RDTs performed, and 317 (20.3%) patients were positive. Of the 317 case-patients with a positive RDT, 278 (87.7%) received chloroquine, 8 (2.5%) received quinine, and 31 (9.8%) had no antimalarial treatment recorded. Our experience shows that mobile medical teams trained in the use of malaria RDTs had a high rate of testing suspected malaria cases and that the majority of patients with positive RDTs received appropriate antimalarial treatment. Malaria RDTs were useful in the post-disaster setting where logistical and technical constraints limited the use of microscopy.

carcinoma, and its serum levels inversely correlate with severity in patients with sepsis. (7,8) These preliminary data suggest that sepsis and cancer are able to modulate LYPC serum levels. The preliminary results from Dr. Horia's group have to be taken with caution. It is unclear how many of these patients had a superimposed AH because the letter does not include detailed clinical information and the test used (i.e., ASH test) has not been extensively validated in patients with AH. Future studies in well-defined phenotypes (i.e., compensated ALD, decompensated ALD without superimposed AH, and patients with AH) should be performed to confirm these interesting data.