Here’s everything you need to know about malaria in the U.S.
I can’t tell you for sure, partly because we don’t really do much surveillance anymore for the presence and distribution of mosquitoes. We’ve kind of stop worrying about malaria in this country, once we stopped the ongoing transmission back in the last century.The main intervention that caused malaria to stop being transmitted on an ongoing basis was socioeconomic development.
If you grow up in Sub-Saharan Africa, in a place where you’re exposed to malaria, by the time you’re five or six years old, you have enough immunity that you may still get infected, but you’re not going to get very sick and you’re very unlikely to die from malaria. If you then come to the U.S. or Europe, you may lose that immunity and over the course of three, four, five years.In this country, when malaria appears, and people don’t have immunity, they get sick, they seek medical attention.
Exactly. When I was an infectious disease fellow at Johns Hopkins, one of my fellow fellows found a case of a woman who had been continuously infected with malaria for 50 or 60 years. She got infected as a young person. Her immune system was able to control the infection in a very low level.I think she had her spleen removed for cancer treatment or something like that.
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