Direction Centrale du Service de Santé des Armées, Paris, France.
Am J Trop Med Hyg. 2011 Sep;85(3):554-9. doi: 10.4269/ajtmh.2011.11-0122.
Historically, native populations in the Republic of Djibouti have experienced only low and unstable malaria transmission and intermittent epidemics. In recent years, efforts at malaria control have been aggressively pursued. This study was performed to inform revised malaria prevention recommendations for military service members and international travelers to the country. Laboratory-confirmed cases of malaria documented at large medical facilities and within military and civilian health care systems in the Republic of Djibouti from 1998 to 2009 were reviewed. In recent years, fewer than 5% of febrile cases among the three largest passive surveillance systems were laboratory-confirmed as malaria, and incidence of confirmed malaria was well below 1/1,000 persons/year. As efforts in the Republic of Djibouti progress toward elimination, and in conjunction with continued efforts at surveillance, emphasizing mosquito-avoidance measures and standby emergency treatment will become reasonable recommendations for malaria prevention.
从历史上看，吉布提共和国的本地居民仅经历过低水平且不稳定的疟疾传播和间歇性流行。近年来，疟疾控制工作一直在积极开展。本研究旨在为修订向该国的军人和国际旅行者提供的疟疾预防建议提供信息。对 1998 年至 2009 年在吉布提共和国的大型医疗机构以及军事和民用保健系统中记录的实验室确诊的疟疾病例进行了审查。近年来，三个最大的被动监测系统中不到 5%的发热病例经实验室确诊为疟疾，确诊疟疾的发病率远低于每 1000 人/年 1 例。随着吉布提共和国的努力向消除疟疾迈进，并且结合持续的监测工作，强调蚊虫避免措施和备用紧急治疗将成为合理的疟疾预防建议。
