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Imported malaria in northern central Morocco, 1997-2007


Cahiers d'études et de recherches francophones / Santé . Volume 19, Number 1, 43-7, janvier-février-mars 2009, Étude originale

DOI : 10.1684/san.2009.0137

Résumé   Summary  

Author(s) : Abdelhakim El Ouali Lalami, Mohamed Cherigui, Saad Ibnsouda Koraichi, Saad Maniar, Nora El Maimouni, Mohamed Rhajaoui , Laboratoire régional de diagnostic épidémiologique et d’hygiène du milieu direction régionale de la santé hôpital El-Ghassani Fès Maroc, Laboratoire de biotechnologie microbienne, faculté des sciences et techniques Saiss Fès Maroc, Observatoire régional de la santé direction régionale de santé de Fès Maroc, Département de parasitologie institut national d’hygiène Rabat Maroc.

Summary : After the elimination of autochthonous malaria in Morocco in 2004, control of imported malaria, based on epidemiological monitoring of the parasite and vector control, has become a priority. This retrospective study concerns imported malaria cases identified by optical microscopy at the regional epidemiological diagnostic laboratory of the Regional Health Department of Fes from1997 through 2007. The results obtained showed that 56 of 68 (82%) samples examined were positive. Women accounted for 21% of cases, and all patients were older than 15 years. The positive cases were imported from 13 African countries, in particular, Côte d’Ivoire (14%) and Congo and Burkina Faso (11%). Incidence was highest in 2002 with 11 cases, 1998 with 9 cases, and 2004 and 2005, with 8 each year. Only one death was recorded, in 2002. The species found were Plasmodium falciparum, in 50 cases (89%), Plasmodium vivax in 4 (7%) and Plasmodium ovale in 2 (4%). The city of Fes, capital of the Fes -Boulemane region in northern central Morocco, as a capital, university town, and important spiritual centre, attracts many visitors from countries of sub-Saharan Africa where malaria is endemic. It is thus essential to maintain a high level of malaria monitoring and control in this area. The results of this study will undoubtedly help to guide the programme for imported malaria control and monitoring in our area, as well as the national programme against this disease.

Keywords : imported malaria, parasite, plasmodium, control, Fez, Morocco

Pictures

Figure 1 Zones à risque de paludisme Maroc 2007. Source : Direction d’épidémiologie et de lutte contre les maladies, Rabat.

Figure 1 Zone at risk of malaria, Morocco 2007.

Figure 2 Pourcentage des cas positifs et négatifs du paludisme importé enregistrés de 1997 à 2007 au niveau du LRDEHM.

Figure 2 Percentage of cases found to be positive and negative for imported malaria between 1997 and 2007 at the LRDEHM.

Figure 3 Répartition du nombre de cas positifs du paludisme importé par année.

Figure 3 Distribution of cases positive for imported malaria per year.

Figure 4 Répartition de cas positifs du paludisme importé en fonction du sexe.

Figure 4 Distribution of cases positive for imported malaria according to sex.

Figure 5 Répartition de cas positifs du paludisme importé en fonction des espèces.

Figure 5 Distribution of cases positive for imported malaria according to parasite species.


 

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