Geographical Origin of Post-Landmine Injury Malaria Infections

Durham, Jo, Battle, Katherine, Rickart, Keith and Shanks, G Dennis (2014) Geographical Origin of Post-Landmine Injury Malaria Infections. Disaster Medicine and Public Health Preparedness, 8 5: 417-421. doi:10.1017/dmp.2014.93


Author Durham, Jo
Battle, Katherine
Rickart, Keith
Shanks, G Dennis
Title Geographical Origin of Post-Landmine Injury Malaria Infections
Journal name Disaster Medicine and Public Health Preparedness   Check publisher's open access policy
ISSN 1935-7893
1938-744X
Publication date 2014
Year available 2014
Sub-type Article (original research)
DOI 10.1017/dmp.2014.93
Open Access Status
Volume 8
Issue 5
Start page 417
End page 421
Total pages 5
Place of publication New York, NY United States
Publisher Cambridge University Press
Collection year 2015
Language eng
Formatted abstract
Objective In Cambodia, a highly landmine-contaminated country with endemic malaria, symptomatic falciparum malaria has been observed in patients presenting with traumatic landmine injuries. Because a link between recrudescence of symptomatic Plasmodium falciparum malaria and severe trauma is well established, we explored whether a link could be demonstrated between the geolocation of landmine amputations and malaria cases.

Method Landmine amputation data in Cambodia (2005–2008) were compared with predicted measures of malaria endemicity. Data of injuries that had resulted in amputation were plotted over a surface of P falciparum parasite rates.

Results No statistically significant correlation was found, possibly because the P falciparum endemicity surface was drawn from a model-based geostatistical prediction of infection prevalence and did not distinguish cases of recrudescence. The implication of this finding is that where symptomatic falciparum malaria has been observed in patients with landmine injuries, the cases were likely to be reactivated falciparum infections and not new cases.

Conclusions Further research is needed to understand the relationship between P falciparum and trauma. To distinguish P falciparum recrudescence from new cases, a prospective registry is needed. Also, practitioners need to be aware of the possibility of post-injury malaria recrudescence in complex emergencies.
Keyword Cambodia
Landmines
Recrudescence
War
Disaster medicine
Amputation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Public Health Publications
 
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Created: Tue, 18 Nov 2014, 00:34:48 EST by Jo Durham on behalf of School of Public Health