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    Jan 16, 2021
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    Malaria surveillance among the displaced Karen population in Thailand April 1984 to February 1989, Mae Sot, Thailand.

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    Authors
    Decludt, B
    Pecoul, B
    Biberson, P
    Lang, R
    Imivithaya, S
    Affiliation
    Medecins sans Frontieres, Paris, France.
    Issue Date
    1991-12
    
    Metadata
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    Journal
    The Southeast Asian Journal of Tropical Medicine and Public Health
    Abstract
    Right from the arrival of the displaced Karen people in Thailand, Médecins sans Frontières (MSF) identified malaria as the top priority problem. A program of patient care based on the coupled laboratory/dispensary was set up in April 1984. Immediately a system of surveillance of morbidity and mortality from malaria was set up. This study consisted of analysing data gathered over a period of five years. During this time, the displaced population increased from 9,000 to 20,000. Analysis of the trends shows a hyperendemic situation with an annual incidence rate of 1,067 per thousand in 1984. This figure was 600 per thousand in 1988. 1,500 blood smears were checked each month and the positive predictive value of clinical suspicion was 45% on average. Plasmodium falciparum represented 80% of infections. The malaria case fatality ratio over the course of the last two years of surveillance was 0.3%. Five years observation show that the fight against malaria in this region can be based on the development of curative services and laboratories.
    URI
    http://hdl.handle.net/10144/23761
    PubMed ID
    1820635
    Language
    en
    ISSN
    0125-1562
    Collections
    Malaria

    entitlement

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