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Importation of malaria into the USSR from Afghanistan, 1981-89. 1993

V P Sergiev, and A M Baranova, and V S Orlov, and L G Mihajlov, and R L Kouznetsov, and N I Neujmin, and L P Arsenieva, and M A Shahova, and L A Glagoleva, and M M Osipova
Martsinovskij Institute of Medical Parasitology and Tropical Medicine (MIMPTP), Moscow, Russian Federation.

Between 1981 and 1989, a total of 7683 cases of Plasmodium vivax [corrected] malaria were imported into the USSR from Afghanistan, mainly by demobilized military personnel. For 23.8% of these cases the clinical manifestations appeared within a month of returning to the USSR, for 22.5% after 1-3 months, for 20% after 4-6 months, for 2% after > 1 year, and for 0.6% after > 2 years. For 13 patients the clinical manifestations of malaria appeared 3 years after returning from Afghanistan (up to 38 months). Nearly 69% of the patients did not take malaria prophylaxis at all while they were in Afghanistan, and 19% took chloroquine irregularly. Only 12.5% of the patients received a full course of prophylactic treatment with primaquine before leaving Afghanistan. A total of 56% of the cases were detected during the period most favourable for malaria transmission in the USSR (May-September) and of these, half were imported into formerly malarious areas of the country. Activation of a surveillance system greatly reduced the consequences of the massive importation of malaria, to which the local vectors were susceptible.

UI MeSH Term Description Entries
D007303 Insect Vectors Insects that transmit infective organisms from one host to another or from an inanimate reservoir to an animate host. Insect Vector,Vector, Insect,Vectors, Insect
D008889 Military Personnel Persons including soldiers involved with the armed forces. Air Force Personnel,Armed Forces Personnel,Army Personnel,Coast Guard,Marines,Navy Personnel,Sailors,Soldiers,Submariners,Military,Force Personnel, Air,Personnel, Air Force,Personnel, Armed Forces,Personnel, Army,Personnel, Military,Personnel, Navy,Sailor,Soldier,Submariner
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000346 Afghanistan Country located north and west of Pakistan, and east of Iran. The capital is Kabul.
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D000852 Anopheles A genus of mosquitoes (CULICIDAE) that are known vectors of MALARIA. Anopheles gambiae
D000962 Antimalarials Agents used in the treatment of malaria. They are usually classified on the basis of their action against plasmodia at different stages in their life cycle in the human. (From AMA, Drug Evaluations Annual, 1992, p1585) Anti-Malarial,Antimalarial,Antimalarial Agent,Antimalarial Drug,Anti-Malarials,Antimalarial Agents,Antimalarial Drugs,Agent, Antimalarial,Agents, Antimalarial,Anti Malarial,Anti Malarials,Drug, Antimalarial,Drugs, Antimalarial
D012646 Self Administration Administration of a drug or chemical by the individual under the direction of a physician. It includes administration clinically or experimentally, by human or animal. Administration, Self,Administrations, Self,Self Administrations
D014586 USSR A country located from the Baltic and Black seas to the Pacific Ocean and, for a time including 15 Soviet Socialist Republics. The capital was Moscow. Soviet Union,Union of Soviet Socialist Republics
D014857 Warfare Methods of conducting ARMED CONFLICTS.

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