Journal of Pure and Applied Microbiology
Volume 66, Issue 4, 2012, Pages 1939-1944

Report of two foci epidemics of malaria in Bushehr Province, Iran (Article)

Darabi H. , Raeisi A. , Shemshad K. , Pakbaz F. , Shamspour S. , Rafinejad J.*
  • a Persian Gulf Tropical Medicine Research Center, Bushehr University of Medical Science, Iran
  • b Center of Disease Control and Management, Ministry of Health and Medical Education, Iran
  • c Department of Medical Entomology, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran
  • d Persian Gulf Tropical Medicine Research Center, Bushehr University of Medical Science, Iran
  • e Persian Gulf Tropical Medicine Research Center, Bushehr University of Medical Science, Iran
  • f Department of Medical Entomology and Vector Control, School of Public Health, Tehran University of Medical Sciences, P.O.Box 14155-6446, Tehran, Iran, Center for Solid Waste Research (CSWR), Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran, Iran

Abstract

Establishing and developing of huge energy project of southern Pars Company with regard to migration of non-indigenous human force from different parts of the world as labor and more specifically Afghan peoples provided the possibility of malaria transmission, and caused the occurrence of two malaria epidemics in 2002 and 2005. This study is a retrospective survey that all data were extracted from related epidemiological questionnaire forms, which are included reports of malaria cases and standard entomological surveys in Asaluyeh region. In 2002, regard to the lack of vector control vigorous programs in Asaluyeh region, the first epidemic of malaria has occurred. Just on three months, April, May and June, parasite incidence rate reached to 9.2 per thousand. In that year, predominant parasite was Plasmodium vivax (49%) followed by P. falciparum (40%) and mix infection (13%)as well. It found that 64% of all patients was non-indigenous cases, especially Afghan peoples, who worked with oil projects. After three years, although vector control programs, active case finding treatment were carried out seriously, but another epidemic has occurred in 2005 with a parasite incidence rate of 7.5 per thousand, in April, May and June. This year 99% of all infections was caused with P. vivax and the remained 1% was due to P. falciparum. During that epidemic 81% of malaria patients were non-indigenous people, especially Iranian Baluches. The most effective factors on incidence of malaria epidemic in Asaluyeh region include: ecological changes and demographical shifts, entrance and crowding of worker population by different proceeding of parasitic infections, persistence of powerful vectors, migrant population, insufficient equipment and low member of staff in health - care systems.

Author Keywords

Bushehr Iran Epidemics Malaria

Index Keywords

descriptive research laboratory diagnosis human Malaria nonhuman Iran vector control male female questionnaire Incidence Article epidemic major clinical study Plasmodium vivax microscopy malaria falciparum Plasmodium vivax malaria Plasmodium falciparum retrospective study mixed infection

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84874003177&partnerID=40&md5=2843b38259197d89e93e082c2d1e7dc6

ISSN: 09737510
Original Language: English