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Summary

I. Introduction
The study was about the number of patients that had malaria from 1968 to 1999. The rates of
imported malaria had been increasing from 1998 to 1999 greatly in both Europe and North
America.
The rising rates of imported malaria increased mostly because of people who have been traveling
to and from areas that have this disease. They did this research to find out if the cause of the
increasing rates is because of the travelers that went to Africa from 1990 and 2000The
hypothesis for this was that travelers to and from Africa during those years have caused the
imported malaria rates to increase. They came up with this because there was 86% increase in
malaria cases from patients traveled to Africa between 1990 and 2000.
II. Materials and Methods
They review the cases that were recorded from 1991 to 1999. They studied the records and they
could only review 59 patients' charts out of 82. There were 4 cases they couldnt find the records
at the hospital. And 19 patients out of 82 were from other hospitals and they didn't have the
records of those cases to review. So therefore they only reviewed 59 patients.
The methods that they used were just looking and searching. They went to the New York
Hospital because it has the record of all the malaria smears. They then looked for patients from
January 1, 1991 to December 31, 1999 and found 82 patients which then went down to 59
patients after some research.
III. Results

Out of 59 patients, there were 39 males and 20 females. The results show that Plasmodium
falciparum was the most common species, the second common was P. vivax, and there was one
smear with P. ovale. There were 17 patients under the age of 15, including three pairs of
siblings (Kambili, Murray, and Golightly 408). 27 patients were non-immune travelers. 23 of
the 27 patients were born in the United States. 32 patients were born in or were residents of
malaria areas. 22 out of 32 were immigrants. There were ten patients were natives of malaria
areas who were visiting the United States (Kambili, Murray, and Golightly 408). They also
found out that 73% of the cases were acquired in Africa during 1991 to 1999 and only five
patients were United States born travelers used chemoprophylaxis (Kambili, Murray, and
Golightly 408).
IV. Discussion
The results meant that the rates of imported malaria have continued to rise because of
immigration from areas that have high rates of malaria. Especially in the United States, the cases
of malaria had been increasing greatly. They noticed that a lot of young children are diagnosed of
malaria. The study concluded that as travel and migration between malaria-endemic areas and
temperate countries increase, imported malaria will remain a public health priority (Kambili,
Murray, and Golightly 410). More importantly, immigrants living in the United States may be at
a particularly high risk of acquiring malaria when they visit their countries of origin (Kambili,
Murray, and Golightly 410), so the CDC thinks that travelers should go to travel clinics to get the
most up to date recommendations to make sure they won't spread malaria or other diseases to the
area that they are traveling to.

Biography
C, Kambili , Murray HW, and Golightly LM. "MALARIA: 30 YEARS OF EXPERIENCE AT A
NEW YORK CITY TEACHING HOSPITAL ." The American Journal of Tropical
Medicine and Hygiene . N.p., 1 Apr. 2004. Web. 1 Feb. 2015.
<http://www.ajtmh.org/content/70/4/408.full.pdf+html>.

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