Background: Malaria is a major public challenge. It’s estimated 247 million malaria cases worldwide in 2021, with death of almost 619000 cases. WHO data shows incidence of malaria in UAE over last 10 years as 0 per 1000 population at risk. Since UAE is a global country will have a risk of having cases of malaria from malaria-endemic countries and will have similar mortality and morbidity risks. Aim: This study aims to review prevalence and outcome of imported adult malaria cases admitted to tertiary hospital in UAE during last five years (2018-2022). Methods: It’s a retrospective review of imported adult malaria cases admitted to tertiary hospital in UAE during five years, the participants were a total of 83 cases. Result: 93.9% participants were between 18-60 years, with 6.1% older than 60 years. Majority were male (82.9%) and most common ethnicities Asian (56.1%) and African (41.5%). 61 % Participants underwent blood film while 39% underwent both malaria detection test and blood film. Plasmodium vivax was most common species (56.1%) and Plasmodium falciparum was found in 31.5%. Screening for HIV (15.9%) and G6PD (18.3%) which are representing small percentage of participants. During admission, 37.8% had Procalcitonin checked with 90.3% having a cut-off ≥ 0.5. Majority had non-severe malaria (93.1%), while 6.1% had severe malaria.4 out of 82 participants required ICU admission (4.9%), while (95.1%) did not. 53.7% of participants received antibiotics while 46.3% did not. 74.4% stayed in hospital for 0-5 days, 19.5% stayed for 6-10 days, while 6.1% only stayed for more than 10 days. Majority of participants were discharged from hospital 97.6% and 2.4% transferred to another facility. Conclusions: Majority of malaria cases in UAE are imported and predominantly affect adult males of Asian and African ethnicities. Although incidence of malaria in UAE is low, patients coming from malaria-endemic regions with similar morbidity and mortality risks can still be encountered. The prevalence of important adult malaria cases admitted to a tertiary hospital in Sharjah was not high in last 5 years, but mainly affect male travellers hailing from endemic countries. Plasmodium vivax was most common species although Plasmodium falciparum percentage was also significant. Outcome of cases was generally favourable, but some patient required ICU admission due to severe complication. This study highlighted importance of raising awareness, promoting preventive measures & strengthening surveillance and control measures including appropriate chemoprophylaxis to reduce burden of imported malaria in non-endemic areas.
| Published in | International Journal of Infectious Diseases and Therapy (Volume 8, Issue 3) |
| DOI | 10.11648/j.ijidt.20230803.16 |
| Page(s) | 117-121 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Malaria, Death, Risk, Morbidity, Mortality, Epidemiological, Diagnosis, SPSS, ICU
| [1] | Al-Kuwari, M. G. (2009). Epidemiology of Imported Malaria in Qatar. Journal of Travel Medicine. https://doi.org/10.1111/j.1708-8305.2008.00285.x, 16 (2), 119–122. |
| [2] | Dar, F. K. (1993). Status of imported malaria in a control zone of the United Arab Emirates bordering an area of unstable malaria. Transactions of the Royal Society of Tropical Medicine and Hygiene. https://doi.org/10.1016/0035-9203(93)90261-n, 87 (6), 617–619. |
| [3] | Hassan, F. (2015). Mathematical Modeling of Imported Malaria in the United Arab Emirates. Scholarworks@UAEU. https://scholarworks.uaeu.ac.ae/all_theses/9/. |
| [4] | Hira, R. P.-A. (1988). Aspects of Imported Malaria at a District General Hospital in Non-Endemic Kuwait, Arabian, European Journal of Epiermiology. https://www.jstor.org/stable/3520698, 4 (2), pp. 200-205. |
| [5] | Iqbal, J. A.-A. (2021). Current Epidemiological Characteristics of Imported Malaria, Vector Control Status and Malaria Elimination Prospects in the Gulf Cooperation Council (GCC) Countries. Microorganisms. https://doi.org/10.3390/microorganisms9071431, 9 (7), 1431. |
| [6] | Khan, F. Y.-,. (2009). Imported malaria in Qatar: A one-year hospital-based study in 2005. Travel Medicine and Infectious Disease. https://doi.org/10.1016/j.tmaid.2009.01.003, 7 (2), 111–117. |
| [7] | Mohammad Al-Awadhi, S. A. (2021). Current Status and the Epidemiology of Malaria in the Middle East Region and Beyond. National Center of Biotechnology Information. https://doi.org/10.3390%2Fmicroorganisms9020338, 9 (2): 338. |
| [8] | Musa, I. R. (2014). Imported malaria at Buraidah Central Hospital, Qassim, Saudi Arabia: A retrospective analysis. Travel Medicine and Infectious Disease. https://doi.org/10.1016/j.tmaid.2014.04.006, 12 (6), 733–737. |
| [9] | Nilles, E. J.-N. (2014). Epidemiological and Clinical Characteristics of Imported Malaria in the United Arab Emirates. Journal of Travel Medicine. https://doi.org/10.1111/jtm.12110, 21 (3), 201–206. |
| [10] | WHO. (2007). Address by, Dr Hussein A. Gezairy, Regional Director, WHO Eastern Mediterranean Region, to the celebration for a certified malaria-free United Arab Emirates, Dubai, United Arab Emirates. |
| [11] | Yousif, E. (2016). Assessment of Malaria Control Program in the United Arab Emirates. Uofg. edu. sd. https://doi.org/http://repo.uofg.edu.sd/handle/123456789/1984. |
| [12] | Guerra, C. V. C., da Silva, B. M., Müller, P., Baia-da-Silva, D. C., Moura, M. A. S., Araújo, J. D. A.,... & Monteiro, W. (2022). HIV infection increases the risk of acquiring Plasmodium vivax malaria: a 4-year cohort study in the Brazilian Amazon HIV and risk of vivax malaria. Scientific Reports, 12 (1), 9076. |
| [13] | Mahittikorn, A., Kotepui, K. U., Mala, W., Wilairatana, P., & Kotepui, M. (2022). Procalcitonin as a Candidate Biomarker for Malarial Infection and Severe Malaria: A Meta-Analysis. International Journal of Environmental Research and Public Health, 19 (18), 11389. |
| [14] | World Health Organization. Countries and Territories Certified Malaria-Free by WHO. Available online: https://www.who.int/malaria/areas/elimination/malaria-free-countries/en/ (accessed on 18 March 2021). |
| [15] | Post, A.; Kaboré, B.; Bognini, J.; Diallo, S.; Lompo, P.; Kam, B.; Herssens, N.; van Opzeeland, F.; van der Gaast-de Jongh, C. E.; Langereis, J. D.; et al. Infection Manager System (IMS) as a new hemocytometry-based bacteremia detection tool: A diagnostic accuracy study in a malaria-endemic area of Burkina Faso. PLoS Negl. Trop. Dis. 2021, 15, e0009187. |
APA Style
Salma Obaid Alshamsi, Ahmad Subhi, Ubaid Hashmi, Roomiyah Assadi, Mahassen Shaheen, et al. (2023). Prevalence and Outcome of Imported Adult Malaria Cases Admitted to a Tertiary Hospital in Sharjah, United Arab Emirates: A Five Year Study. International Journal of Infectious Diseases and Therapy, 8(3), 117-121. https://doi.org/10.11648/j.ijidt.20230803.16
ACS Style
Salma Obaid Alshamsi; Ahmad Subhi; Ubaid Hashmi; Roomiyah Assadi; Mahassen Shaheen, et al. Prevalence and Outcome of Imported Adult Malaria Cases Admitted to a Tertiary Hospital in Sharjah, United Arab Emirates: A Five Year Study. Int. J. Infect. Dis. Ther. 2023, 8(3), 117-121. doi: 10.11648/j.ijidt.20230803.16
AMA Style
Salma Obaid Alshamsi, Ahmad Subhi, Ubaid Hashmi, Roomiyah Assadi, Mahassen Shaheen, et al. Prevalence and Outcome of Imported Adult Malaria Cases Admitted to a Tertiary Hospital in Sharjah, United Arab Emirates: A Five Year Study. Int J Infect Dis Ther. 2023;8(3):117-121. doi: 10.11648/j.ijidt.20230803.16
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author = {Salma Obaid Alshamsi and Ahmad Subhi and Ubaid Hashmi and Roomiyah Assadi and Mahassen Shaheen and Aulin Vitus and Ibrahim Mahmoud and Pramod Chhabrani},
title = {Prevalence and Outcome of Imported Adult Malaria Cases Admitted to a Tertiary Hospital in Sharjah, United Arab Emirates: A Five Year Study},
journal = {International Journal of Infectious Diseases and Therapy},
volume = {8},
number = {3},
pages = {117-121},
doi = {10.11648/j.ijidt.20230803.16},
url = {https://doi.org/10.11648/j.ijidt.20230803.16},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20230803.16},
abstract = {Background: Malaria is a major public challenge. It’s estimated 247 million malaria cases worldwide in 2021, with death of almost 619000 cases. WHO data shows incidence of malaria in UAE over last 10 years as 0 per 1000 population at risk. Since UAE is a global country will have a risk of having cases of malaria from malaria-endemic countries and will have similar mortality and morbidity risks. Aim: This study aims to review prevalence and outcome of imported adult malaria cases admitted to tertiary hospital in UAE during last five years (2018-2022). Methods: It’s a retrospective review of imported adult malaria cases admitted to tertiary hospital in UAE during five years, the participants were a total of 83 cases. Result: 93.9% participants were between 18-60 years, with 6.1% older than 60 years. Majority were male (82.9%) and most common ethnicities Asian (56.1%) and African (41.5%). 61 % Participants underwent blood film while 39% underwent both malaria detection test and blood film. Plasmodium vivax was most common species (56.1%) and Plasmodium falciparum was found in 31.5%. Screening for HIV (15.9%) and G6PD (18.3%) which are representing small percentage of participants. During admission, 37.8% had Procalcitonin checked with 90.3% having a cut-off ≥ 0.5. Majority had non-severe malaria (93.1%), while 6.1% had severe malaria.4 out of 82 participants required ICU admission (4.9%), while (95.1%) did not. 53.7% of participants received antibiotics while 46.3% did not. 74.4% stayed in hospital for 0-5 days, 19.5% stayed for 6-10 days, while 6.1% only stayed for more than 10 days. Majority of participants were discharged from hospital 97.6% and 2.4% transferred to another facility. Conclusions: Majority of malaria cases in UAE are imported and predominantly affect adult males of Asian and African ethnicities. Although incidence of malaria in UAE is low, patients coming from malaria-endemic regions with similar morbidity and mortality risks can still be encountered. The prevalence of important adult malaria cases admitted to a tertiary hospital in Sharjah was not high in last 5 years, but mainly affect male travellers hailing from endemic countries. Plasmodium vivax was most common species although Plasmodium falciparum percentage was also significant. Outcome of cases was generally favourable, but some patient required ICU admission due to severe complication. This study highlighted importance of raising awareness, promoting preventive measures & strengthening surveillance and control measures including appropriate chemoprophylaxis to reduce burden of imported malaria in non-endemic areas.},
year = {2023}
}
TY - JOUR T1 - Prevalence and Outcome of Imported Adult Malaria Cases Admitted to a Tertiary Hospital in Sharjah, United Arab Emirates: A Five Year Study AU - Salma Obaid Alshamsi AU - Ahmad Subhi AU - Ubaid Hashmi AU - Roomiyah Assadi AU - Mahassen Shaheen AU - Aulin Vitus AU - Ibrahim Mahmoud AU - Pramod Chhabrani Y1 - 2023/08/22 PY - 2023 N1 - https://doi.org/10.11648/j.ijidt.20230803.16 DO - 10.11648/j.ijidt.20230803.16 T2 - International Journal of Infectious Diseases and Therapy JF - International Journal of Infectious Diseases and Therapy JO - International Journal of Infectious Diseases and Therapy SP - 117 EP - 121 PB - Science Publishing Group SN - 2578-966X UR - https://doi.org/10.11648/j.ijidt.20230803.16 AB - Background: Malaria is a major public challenge. It’s estimated 247 million malaria cases worldwide in 2021, with death of almost 619000 cases. WHO data shows incidence of malaria in UAE over last 10 years as 0 per 1000 population at risk. Since UAE is a global country will have a risk of having cases of malaria from malaria-endemic countries and will have similar mortality and morbidity risks. Aim: This study aims to review prevalence and outcome of imported adult malaria cases admitted to tertiary hospital in UAE during last five years (2018-2022). Methods: It’s a retrospective review of imported adult malaria cases admitted to tertiary hospital in UAE during five years, the participants were a total of 83 cases. Result: 93.9% participants were between 18-60 years, with 6.1% older than 60 years. Majority were male (82.9%) and most common ethnicities Asian (56.1%) and African (41.5%). 61 % Participants underwent blood film while 39% underwent both malaria detection test and blood film. Plasmodium vivax was most common species (56.1%) and Plasmodium falciparum was found in 31.5%. Screening for HIV (15.9%) and G6PD (18.3%) which are representing small percentage of participants. During admission, 37.8% had Procalcitonin checked with 90.3% having a cut-off ≥ 0.5. Majority had non-severe malaria (93.1%), while 6.1% had severe malaria.4 out of 82 participants required ICU admission (4.9%), while (95.1%) did not. 53.7% of participants received antibiotics while 46.3% did not. 74.4% stayed in hospital for 0-5 days, 19.5% stayed for 6-10 days, while 6.1% only stayed for more than 10 days. Majority of participants were discharged from hospital 97.6% and 2.4% transferred to another facility. Conclusions: Majority of malaria cases in UAE are imported and predominantly affect adult males of Asian and African ethnicities. Although incidence of malaria in UAE is low, patients coming from malaria-endemic regions with similar morbidity and mortality risks can still be encountered. The prevalence of important adult malaria cases admitted to a tertiary hospital in Sharjah was not high in last 5 years, but mainly affect male travellers hailing from endemic countries. Plasmodium vivax was most common species although Plasmodium falciparum percentage was also significant. Outcome of cases was generally favourable, but some patient required ICU admission due to severe complication. This study highlighted importance of raising awareness, promoting preventive measures & strengthening surveillance and control measures including appropriate chemoprophylaxis to reduce burden of imported malaria in non-endemic areas. VL - 8 IS - 3 ER -
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