1995
DOI: 10.1017/s1049023x00041935
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Post-Disaster Malaria in Costa Rica

Abstract: Introduction:In recent years, controversy has surrounded the issue of whether infectious disease should be considered a serious potential consequence of natural disasters. This article contributes to this debate with evidence of a significant outbreak of malaria in Costa Rica's Atlantic region after the 1991 earthquake and subsequent floods. Methods: This study is an epidemiologic investigation of the incidence of malaria for the periods of 22 months before the April 1991 Limon earthquake and for 13 months aft… Show more

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Cited by 54 publications
(33 citation statements)
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“…WHO found that the flooding in the Dominican Republic in 2004 led to malaria outbreaks [34]. For other countries, flooding has also been associated with changes in habitat that were beneficial for breeding and preceded an extreme rise in malaria cases [43]–[46]. Additionally, periodic flooding linked to El Niño has been associated with malaria epidemics in Peru, Bolivia and the USA [47][49].…”
Section: Discussionmentioning
confidence: 99%
“…WHO found that the flooding in the Dominican Republic in 2004 led to malaria outbreaks [34]. For other countries, flooding has also been associated with changes in habitat that were beneficial for breeding and preceded an extreme rise in malaria cases [43]–[46]. Additionally, periodic flooding linked to El Niño has been associated with malaria epidemics in Peru, Bolivia and the USA [47][49].…”
Section: Discussionmentioning
confidence: 99%
“…Outbreaks of malaria were associated with changes in habitat after the 1991 floods in Costa Rica's Atlantic region (Saenz et al 1995).…”
Section: Central and South Americamentioning
confidence: 99%
“…The changed living condition, environmental ecosystem, and human behaviors during flood events may increase the incidence of vector-borne infectious diseases. 8,17,18,23 Natural systems and environmental health are damaged during the flood. 45 In that mosquitoes and pathogens are sensitive to external moisture levels and temperature.…”
Section: Discussionmentioning
confidence: 99%
“…On the basis of the transmission mechanism of infectious diseases and findings from previous research, floods mainly affect vector-borne, 14,15 waterborne, 14 and rodent-borne diseases. 16 This study examined these three types of infectious diseases regarding their relationship to the flood event, including malaria, [17][18][19] 21 hepatitis A virus (HAV) infection, hepatitis E virus (HEV) infection, typhoid and paratyphoid, 22 schistosomiasis, cholera, leptospirosis, [23][24][25] Japanese encephalitis, 26 pestis, and hemorrhagic fever with renal syndrome (HFRS).…”
Section: Methodsmentioning
confidence: 99%