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Indian Journal of Community Medicine

Malaria among migrants in a rural area of Belgaum

Author(s): Muralidhar MK, Wantamutte AS

Vol. 32, No. 2 (2007-04 - 2007-06)

LETTER TO EDITOR

Year : 2007 | Volume : 32 | Issue : 2 | Page : 153

Malaria among migrants in a rural area of Belgaum

Muralidhar MK, Wantamutte AS
Department of Community Medicine, JN Medical College, Belgaum, Karnataka, India

Correspondence Address:
Muralidhar M K
Department of Community Medicine, JN Medical College, Belgaum, Karnataka
India

Source of Support: None, Conflict of Interest: None
How to cite this article:
Muralidhar MK, Wantamutte AS. Malaria among migrants in a rural area of Belgaum. Indian J Community Med 2007;32:153
How to cite this URL:
Muralidhar MK, Wantamutte AS. Malaria among migrants in a rural area of Belgaum. Indian J Community Med [serial online] 2007 [cited 2007 Nov 30];32:153. Available from: http://www.ijcm.org.in/text.asp?2007/32/2/153/35665

This is a report of a study conducted on a group of 250 migrant laborers from Andhra Pradesh who were living at a university campus under the area of primary health center (PHC) Kinaye. This area had been free from malaria for three years. On 23 June 2005, two women aged 30 years visited the OPD of PHC Kinaye with complaints of fever accompanied by chills and rigors. This raised the suspicion of malaria, and they were managed as per the guidelines of the national anti-malaria programme (NAMP).1

The suspicion of malaria led to active surveillance among the migrant population with the cooperation of the project manager at the construction site where they were working. Informed consent was taken from all before a general physical examination was done and blood smears collected. Initially, 35 suspected cases of malaria and, later, the remaining 215 migrants were examined. Blood smear collection was followed by presumptive treatment. Radical treatment was administered under supervision if smears were found to be positive for malarial parasites. Follow-up smears were taken after completion of radical treatment.

Five cases were confirmed to be malaria. One was detected by passive surveillance at the OPD of the PHC and the rest through active surveillance. All the slides showed ring stages, trophozoites, and gametocytes of Plasmodium vivax. All the patients were declared cured, as the follow-up smears after radical treatment were negative for malarial parasites. Relevant health education was imparted.

We conclude that there is a need for constant vigilance over the movement of populations, especially when migrations occur from endemic to nonendemic areas. Both active and passive surveillance play a vital role in malaria detection. Local authorities and the community need to be involved and their cooperation must be ensured for the control of an outbreak.

Acknowledgement

Our thanks to medical officers and staff of PHC Kinaye for their cooperation during the study.

References

1. Kishore J. National Health Programmes In India, New Delhi, Century Publications. 4 th ed. 2002. p. 99-117.

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