Changing Patterns in Epidemiology of Malaria Between 2006 and 2018 in the South of Fars Province, Southern Iran: The Fall and Rise of Malaria

Delam, Hamed; Shokrpour, Nasrin; Nikbakht, Hossein-Ali; Hassanipour, Soheil; Safari, Khalil; Bazrafshan, Mohammad‐Rafi

doi:10.5334/aogh.2850

Cited by 4 publications

(5 citation statements)

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“…Iran had previously reported indigenous malaria cases [ 2 , 7 ]. Consistent with recent data, previous studies had also reported a declining trend in the incidence of indigenous malaria cases in Iran [ 33 , 61 , 62 ]. However, imported malaria cases continue to occur.…”

Section: Epidemiology Of Malaria In Other Countries In the Middle supporting

confidence: 90%

“…Plasmodium vivax was the dominant species, identified in 478 (88%) individuals while 63 (12%) patients were infected with P. falciparum [ 61 ]. Delam et al [ 62 ] described the epidemiological status of malaria in the southern region of Fars Province in southern Iran during 2006–2018. The authors found a total of 190 cases of malaria with >95% infections affecting Afghans and most of them were workers.…”

Section: Epidemiology Of Malaria In Other Countries In the Middle mentioning

confidence: 99%

“…A study of malaria prevalence in Jalalabad City, employing real-time PCR with high resolution melting analysis on 296 blood samples reported asymptomatic malaria in 26 (7.8%) individuals [ 78 ]. Most of the imported malaria cases in Iran in one study originated from Afghanistan [ 62 ].…”

Section: Epidemiological Data From Countries Of Origin For Importementioning

confidence: 99%

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Current Status and the Epidemiology of Malaria in the Middle East Region and Beyond

2021

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Vector-borne parasitic infectious diseases are important causes of morbidity and mortality globally. Malaria is one of the most common vector-borne parasitic infection and is caused by five Plasmodium species, namely P. falciparum, P. vivax, P. ovale, P. malariae, and P. knowlesi. Epidemiologically, differences in the patterns of malaria cases, causative agent, disease severity, antimicrobial resistance, and mortality exist across diverse geographical regions. The world witnessed 229 million malaria cases which resulted in 409,000 deaths in 2019 alone. Although malaria cases are reported from 87 countries globally, Africa bears the brunt of these infections and deaths as nearly 94% of total malaria cases and deaths occur in this continent, particularly in sub-Saharan Africa. Most of the Middle East Region countries are malaria-free as no indigenous cases of infection have been described in recent years. However, imported cases of malaria continue to occur as some of these countries. Indeed, the six Gulf Cooperation Council (GCC) countries have large expatriate population originating from malaria endemic countries. In this review, the current status and epidemiology of malaria in the Middle East Region countries and other malaria-endemic countries that are home to a large migrant workforce being employed in Middle East Region countries are discussed.

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Section: Epidemiology Of Malaria In Other Countries In the Middle supporting

confidence: 90%

Section: Epidemiology Of Malaria In Other Countries In the Middle mentioning

confidence: 99%

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Current Status and the Epidemiology of Malaria in the Middle East Region and Beyond

2021

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“…In terms of climate, Larestan, Evaz and Khonj are considered as arid regions, and the average annual rainfall in these regions from 2003 to 2010 was about 151.8 mm [21]. Larestan city is the largest city in Fars province in terms of area, which is located in the south of this province (Figure 1) [22].…”

Section: Study Areamentioning

confidence: 99%

Changing Patterns in Epidemiology of Brucellosis in the South of Iran (2015–2020): Based on Cochrane-Armitage Trend Test

Delam

Keshtkaran

Rezaei

et al. 2022

Annals of Global Health

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Background: Brucellosis is known in Iran as an endemic disease; however, its incidence is not the same in all provinces and is higher in some areas.Objective: The present study was designed to determine the epidemiological status and trend of brucellosis in the period from 2015 to 2020 in the south of Fars province, Southern Iran.Methods: This is a cross-sectional analytical study. This study included all patients with brucellosis in the period from 2015 to 2020 whose information had been registered in the Infectious Diseases Center of Larestan city. To collect the data, we used a checklist that included information such as age, gender, number of cases by year and month, occupation, and nationality of the patients with brucellosis. The rate of brucellosis incidence during these years was analyzed using the Cochran-Armitage trend test. P-value less than 0.05 was considered significant. Results:The average annual incidence of the disease was 8.94 per 100 000 population. It has decreased from 26.83 (per 100 000 people) in 2015 to 1.83 (per 100 000 people) in 2020. The results of Cochrane-Armitage process test showed that the reduction in the incidence of the disease from 2015 to 2020 was significant (PTrend = 0.001). The trend of the disease by month also showed that the majority of cases occurred between December and February, with the highest incidence of the disease in February (9.93 per 100 000 people) and the lowest in May (1.1 per 100 000 people) (P = 0.001). Conclusion:Although the results of the present study indicated a decrease in the incidence of the disease in the southern region of Fars province, due to the fact that the disease is common between humans and livestock, there is the possibility of scattered and irregular epidemics in each period.

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“…The remaining 4 cases had mixed infection of P. falciparum and P. vivax . The study carried out in the southern region of Fars province in Iran also detected nearly all malaria cases among Afghan nationals, mostly including migrant workers, during 2006–2018 [ 86 ].…”

Section: Malaria Status Among Countries Contributing Most Of the Imported Malaria Cases In Gcc Countriesmentioning

confidence: 99%

Current Epidemiological Characteristics of Imported Malaria, Vector Control Status and Malaria Elimination Prospects in the Gulf Cooperation Council (GCC) Countries

et al. 2021

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Malaria is the most common vector-borne parasitic infection causing significant human morbidity and mortality in nearly 90 tropical/sub-tropical countries worldwide. Significant differences exist in the incidence of malaria cases, dominant Plasmodium species, drug-resistant strains and mortality rates in different countries. Six Gulf Cooperation Council (GCC) countries (Bahrain, Kuwait, Qatar, Oman, Saudi Arabia and United Arab Emirates, UAE) in the Middle East region with similar climates, population demographics and economic prosperity are aiming to achieve malaria elimination. In this narrative review, all studies indexed in PubMed describing epidemiological characteristics of indigenous and imported malaria cases, vector control status and how malaria infections can be controlled to achieve malaria elimination in GCC countries were reviewed and discussed. These studies have shown that indigenous malaria cases are absent in Bahrain, Kuwait, Qatar and UAE and have progressively declined in Oman and Saudi Arabia. However, imported malaria cases continue to occur as GCC countries have large expatriate populations originating from malaria-endemic countries. Various malaria control and prevention strategies adopted by GCC countries including more stringent measures to reduce the likelihood of importing malaria cases by prior screening of newly arriving expatriates and vector elimination programs are likely to lead to malaria elimination in this region.

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Changing Patterns in Epidemiology of Malaria Between 2006 and 2018 in the South of Fars Province, Southern Iran: The Fall and Rise of Malaria

Cited by 4 publications

References 20 publications

Current Status and the Epidemiology of Malaria in the Middle East Region and Beyond

Current Status and the Epidemiology of Malaria in the Middle East Region and Beyond

Changing Patterns in Epidemiology of Brucellosis in the South of Iran (2015–2020): Based on Cochrane-Armitage Trend Test

Current Epidemiological Characteristics of Imported Malaria, Vector Control Status and Malaria Elimination Prospects in the Gulf Cooperation Council (GCC) Countries

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