Published in:
Open Access
01-12-2009 | Research
Modeling the risk of malaria for travelers to areas with stable malaria transmission
Authors:
Eduardo Massad, Ronald H Behrens, Marcelo N Burattini, Francisco AB Coutinho
Published in:
Malaria Journal
|
Issue 1/2009
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Abstract
Background
Malaria is an important threat to travelers visiting endemic regions. The risk of acquiring malaria is complex and a number of factors including transmission intensity, duration of exposure, season of the year and use of chemoprophylaxis have to be taken into account estimating risk.
Materials and methods
A mathematical model was developed to estimate the risk of non-immune individual acquiring falciparum malaria when traveling to the Amazon region of Brazil. The risk of malaria infection to travelers was calculated as a function of duration of exposure and season of arrival.
Results
The results suggest significant variation of risk for non-immune travelers depending on arrival season, duration of the visit and transmission intensity. The calculated risk for visitors staying longer than 4 months during peak transmission was 0.5% per visit.
Conclusions
Risk estimates based on mathematical modeling based on accurate data can be a valuable tool in assessing risk/benefits and cost/benefits when deciding on the value of interventions for travelers to malaria endemic regions.