[Plasmodium falciparum malaria in urban zones of high endemic regions in black Africa. Potential seriousness and possible preventive measures].

By the year 2000, 40% of the population of sub-Saharan Africa (western and middle Africa) will live in urban areas. It is obvious that urbanization reduces the transmission of malaria and make treatment easier. However, excessive optimism is inappropriate in regions where malaria transmission remains intense and where it is unfortunately illusory to hope for any major or geographically extensive reduction in transmission outside urban and suburban areas. In this context, the benefit of a reduction in malarial morbidity could be compromised by the increased risk of severe forms in town-dwellers, who now have little or no immunity, when they venture into the surrounding rural zone. The prevention of malaria during trips to endemic areas has become a reality for sub-Saharan African town-dwellers. We have to conceive and propose specific protective measures. This version of the advice to travellers about malaria, intended for use in Africa, is fairly similar, in theory, to the advice we give in Europe to travellers going to tropical areas: 1) at most, chemoprophylaxis throughout the exposure period plus 2 or 4 weeks after their return; 2) in all cases, protection against anopheles (take and travel with an impregnated mosquito net) and: 3) above all, the systematic and rapid treatment of any suspected attack of malaria (take and travel with a medicine pack containing antimalarials). If it seems vain to hope to be able to apply these measures in the current socio-economic situation in sub-Saharan African, they are nonetheless justified.