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Rates of childhood malaria have trebled over past 25 years in southwest London

May 20, 2002

Rates of childhood malaria have trebled over the past 25 years, shows research in the Archives of Disease in Childhood.

Over 500 million people worldwide contract malaria, more than 2.5 million of whom will die as a result. Around 300 cases of childhood malaria are reported every year in the UK.




Between 1975 and 1979 malaria was diagnosed in 249 children at one major London teaching hospital. Over half were UK residents, of whom more than one in three had been born in the UK; 22 per cent were newly arrived immigrants. The remainder were children travelling to the UK.

Between 1975 and 1979 there were just under five cases a year. But this had risen to just under 14 cases a year between 1990 and 1999. The type of malaria most prevalent in sub-Saharan Africa (Plasmodium falciparum) accounted for over three quarters of the total cases seen, and most of those in the 1990s. One in six cases had been acquired in the Indian subcontinent.

Only four out of 10 of the UK residents had taken any preventive treatment, largely because their parents assumed they would be immune, even though they had been born and raised in England.

And only 3 per cent continued to take their anti-malarial treatment once they had returned to the UK. But the authors point out that childhood malarial preventive treatments taste awful, which might have some bearing on children’s willingness to take them.

On average, it took seven days before the children were diagnosed, a pattern that remained steady over the entire period. This is of some concern, say the authors, because children are especially vulnerable to P falciparum malaria. As yet no children have died, but the authors point out that of the adults dying of malaria in the UK, most had not taken any preventive treatment.

British Medical Journal (BMJ)



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