Stürchler D
Schweiz Med Wochenschr. 1978 Nov 18;108(46):1810-1.
Plasmodium falciparum is the predominant plasmodium species in Africa south of the Sahara to a proportion of 80% and more. Two thirds of all cases of malaria in Switzerland are imported from Africa. Accordingly, malignant malaria is more frequently diagnosed in Switzerland than tertian malaria. Malignant malaria usually presents atypically, e.g. as acute gastrointestinal disease or as shock. The lethality is high. The majority of Swiss travellers are not protected effectively against malaria. A group particularly at risk are tourists of 20--30 years of age. It is suggested that travel agencies, official bodies and the medical profession should intensify public information regarding the dangers and prevention of malaria.
恶性疟原虫是撒哈拉以南非洲地区占比80%及以上的主要疟原虫种类。瑞士所有疟疾病例中有三分之二是从非洲输入的。因此，瑞士恶性疟疾的诊断比间日疟更为常见。恶性疟疾通常表现不典型，例如表现为急性胃肠道疾病或休克。其致死率很高。大多数瑞士旅行者没有得到有效的疟疾防护。一个特别危险的群体是20至30岁的游客。建议旅行社、官方机构和医疗行业加强关于疟疾危害和预防的公众宣传。
