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Mortality from Plasmodium falciparum Malaria in Travelers from the United States, 1959 to 1987

Alan E. Greenberg, MD; and Hans O. Lobel, MD, MPH
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Requests for Reprints: Hans O. Lobel, MD, MPH, Malaria Branch C-22, Centers for Disease Control, Atlanta, GA 30333.

Current Author Addresses: Dr. Greenberg: AIDS Surveillance Unit, Box 44, New York City Department of Health, 125 Worth Street, New York, NY 10013.

Dr. Lobel: Malaria Branch C-22, Centers for Disease Control, Atlanta, GA 30333.

Ann Intern Med. 1990;113(4):326-327. doi:10.7326/0003-4819-113-4-326
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This excerpt has been provided in the absence of an abstract.

Each year, more than 1 million U.S. citizens travel to malaria-endemic areas (1), and several hundred become infected with Plasmodium falciparum (2), the malaria species most commonly associated with severe morbidity and mortality. To define the mortality from P. falciparum in U.S. travelers and to assess factors that may contribute to mortality, we reviewed all malaria fatalities reported to the Centers for Disease Control (CDC) from 1959 to 1987.

Methods: Malaria is a reportable disease in the United States, and the Malaria Branch of the CDC coordinates a national malaria surveillance system. Using annual surveillance reports (2), all deaths from


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