Imported malaria in the UK, 2005 to 2016: Estimates from primary care electronic health records

Bastaki, Hamad; Marston, Louise; Cassell, Jackie A; Rait, Greta

doi:10.1371/journal.pone.0210040

Cited by 3 publications

(1 citation statement)

References 22 publications

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“…This de ciency can have substantial therapeutic implications. It is clear that proper recording of malaria cases in primary care is essential and can be improved on a par with other countries [22].…”

Section: Under-recording Of Malaria and Hiv Episodesmentioning

confidence: 99%

Perspectives of primary care physicians in Spain on malaria: a cross-sectional survey and retrospective review of cases

Linares-Rufo,

Bermudez-Marval,

García-Bertolín

et al. 2023

Preprint

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Background In Spain, the risk of imported malaria has increased in recent years due to the rise in international travel and migration. Little is known about the knowledge, information sources, clinical practice, and specific needs of primary care physicians (PCPs) concerning malaria despite the pivotal role played by these professionals in managing the health of tourists. The objective of this study was to assess the knowledge, attitudes, and practices of PCPs in Spain regarding malaria. Methods This research analyzes data from (1) a cross-sectional nationwide survey assessing the knowledge and attitudes of PCPs regarding malaria and (2) a retrospective review of 373 malaria cases appearing in primary care medical records (PCMRs) in the Madrid area over the past 15 years to determine how cases were documented, managed, or characterized in the primary care setting. Results The survey findings reveal a modest level of self-perceived familiarity with malaria (221/360, 57.6%), even though 32.8% of the practitioners reported having delivered care for confirmed or suspected cases of the disease. Ten percent of the survey participants did not know the name of the mosquito that transmits malaria, and only 40.7% would promptly request malaria testing for a traveler with symptoms after a trip to an endemic area. Responses provided by younger PCPs varied to a greater extent than those of their more experienced colleagues regarding prevention practices and patient management. A review of PCMRs showed that only 65% of all patients were recorded as such. Among those registered, only 40.3% had a documented malaria episode, and of those, only 16.6% received proper follow-up. Only 23.7% of the patients with a PCMR had a record that specifically indicated travel to an endemic country or travel classified as visiting friends and relatives (VFR). Conclusions The findings of this study underscore the critical role of PCPs in the field of travel medicine, particularly given the increase in imported malaria cases. These results highlight the need for targeted training in travel medicine and the need to ensure optimal patient education in care settings.

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Section: Under-recording Of Malaria and Hiv Episodesmentioning

confidence: 99%

Perspectives of primary care physicians in Spain on malaria: a cross-sectional survey and retrospective review of cases

Linares-Rufo,

Bermudez-Marval,

García-Bertolín

et al. 2023

Preprint

View full text Add to dashboard Cite

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Imported malaria definition and minimum data for surveillance

Arisco

Peterka

Castro

2022

Sci Rep

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The mobility of malaria-infected individuals poses challenges to elimination campaigns by way of spreading parasite drug resistance, straining country-to-country collaboration, and making routine data collection difficult, especially in resource-poor settings. Nevertheless, no concerted effort has been made to develop a common framework to define the spatial and temporal components of an imported malaria case and recommend the minimum data needed to identify it. We conducted a scoping review of imported malaria literature from 2010 to 2020 which showed that definitions vary widely, and local capabilities of detecting importation are often restricted in low-income countries. Following this, we propose a common definition for imported malaria and the minimum data required to identify a case, depending on the country’s capability of conducting an epidemiological investigation. Lastly, we utilize the proposed definition using data from Brazil to demonstrate both the feasibility and the importance of tracking imported cases. The case of Brazil highlights the capabilities of regular surveillance systems to monitor importation, but also the need to regularly use these data for informing local responses. Supporting countries to use regularly collected data and adopt a common definition is paramount to tackling the importation of malaria cases and achieving elimination goals set forth by the World Health Organization.

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Perspectives of primary care physicians in Spain on malaria: a cross-sectional survey and retrospective review of cases

Linares-Rufo,

Bermudez-Marval,

García-Bertolín

et al. 2024

Malar J

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Background In Spain, the risk of imported malaria has increased in recent years due to the rise in international travel and migration. Little is known about the knowledge, information sources, clinical practice, and specific needs of primary care physicians (PCPs) concerning malaria despite the pivotal role played by these professionals in managing the health of tourists. The objective of this study was to assess the knowledge, attitudes, and practices of PCPs in Spain regarding malaria. Methods This research analyses data from (1) a cross-sectional nationwide survey assessing the knowledge and attitudes of PCPs regarding malaria, and (2) a retrospective review of 373 malaria cases appearing in primary care medical records (PCMRs) in the Madrid area over the past 15 years to determine how cases were documented, managed, or characterized in the primary care setting. Results The survey findings reveal a modest level of self-perceived familiarity with malaria (221/360, 57.6%), even though 32.8% of the practitioners reported having delivered care for confirmed or suspected cases of the disease, these practitioners had greater knowledge of malaria (80.4%) compared to physicians who reported not having delivered care for malaria (19.6%, p < 0.001). Ten percent of the survey participants did not know the name of the mosquito that transmits malaria, and only 40.7% would promptly request malaria testing for a traveller with symptoms after a trip to an endemic area. Responses provided by younger PCPs varied to a greater extent than those of their more experienced colleagues regarding prevention practices and patient management. A review of PCMRs showed that only 65% of all patients were recorded as such. Among those registered, only 40.3% had a documented malaria episode, and of those, only 16.6% received proper follow-up. Only 23.7% of the patients with a PCMR had a record that specifically indicated travel to an endemic country or travel classified as visiting friends and relatives (VFR). Conclusions The findings of this study underscore the critical role of PCPs in the field of travel medicine, particularly given the increase in imported malaria cases. These results highlight the need for targeted training in travel medicine and the need to ensure optimal patient education in care settings.

show abstract

Imported malaria in the UK, 2005 to 2016: Estimates from primary care electronic health records

Cited by 3 publications

References 22 publications

Perspectives of primary care physicians in Spain on malaria: a cross-sectional survey and retrospective review of cases

Perspectives of primary care physicians in Spain on malaria: a cross-sectional survey and retrospective review of cases

Imported malaria definition and minimum data for surveillance

Perspectives of primary care physicians in Spain on malaria: a cross-sectional survey and retrospective review of cases

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