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. 2011 Sep;85(3):554-9.
doi: 10.4269/ajtmh.2011.11-0122.

Malaria in the Republic of Djibouti, 1998-2009

Lénaïck Ollivier  1 , Remington L Nevin, Houssein Y Darar, Jacques Bougère, Moustapha Saleh, Stéphane Gidenne, Jérôme Maslin, Dietmar Anders, Christophe Decam, Alain Todesco, Bouh A Khaireh, Ammar A Ahmed
Affiliations

Malaria in the Republic of Djibouti, 1998-2009

Lénaïck Ollivier et al. Am J Trop Med Hyg. 2011 Sep.

Abstract

Historically, native populations in the Republic of Djibouti have experienced only low and unstable malaria transmission and intermittent epidemics. In recent years, efforts at malaria control have been aggressively pursued. This study was performed to inform revised malaria prevention recommendations for military service members and international travelers to the country. Laboratory-confirmed cases of malaria documented at large medical facilities and within military and civilian health care systems in the Republic of Djibouti from 1998 to 2009 were reviewed. In recent years, fewer than 5% of febrile cases among the three largest passive surveillance systems were laboratory-confirmed as malaria, and incidence of confirmed malaria was well below 1/1,000 persons/year. As efforts in the Republic of Djibouti progress toward elimination, and in conjunction with continued efforts at surveillance, emphasizing mosquito-avoidance measures and standby emergency treatment will become reasonable recommendations for malaria prevention.

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Figures

Figure 1.
Figure 1.
Evolution of malaria chemoprophylaxis among French, U.S., and German military personnel deployed to the Republic of Djibouti.
Figure 2.
Figure 2.
Malaria cases diagnosed among French and U.S. military personnel between 1998 and 2009 in the Republic of Djibouti.
See this image and copyright information in PMC

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