Malaria Epidemics and Surveillance Systems in Canada

In the past decade, fluctuations in numbers of imported malaria cases have been seen in Canada. In 1997–1998, malaria case numbers more than doubled before returning to normal. This increase was seen in no other industrialized country. The Canadian federal malaria surveillance system collects insuff...

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Bibliographic Details
Main Authors: J. Dick MacLean, Anne-Marie Demers, Momar Ndao, Evelyne Kokoskin, Brian J. Ward, Theresa W. Gyorkos
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2004-07-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/10/7/03-0826_article
Description
Summary:In the past decade, fluctuations in numbers of imported malaria cases have been seen in Canada. In 1997–1998, malaria case numbers more than doubled before returning to normal. This increase was seen in no other industrialized country. The Canadian federal malaria surveillance system collects insufficient data to interpret these fluctuations. Using local (sentinel), provincial, federal, and international malaria surveillance data, we evaluate and interpret these fluctuations. Several epidemics are described. With an ever-increasing immigrant and refugee population of tropical origin, improved surveillance will be necessary to guide public health prevention policy and practice. The Canadian experience is likely to be generalizable to other industrialized countries where malaria is a reportable disease within a passive surveillance system.
ISSN:1080-6040
1080-6059