A PERMANENT HOLD IN EUROPE
a story which is typically couched in restraint. BUT, I have lived in Africa,
and I have had malaria. I know that the Anopheles mosquito has always been
thought to be strictly a resident of Africa. This account indicates a VERY
strong likelihood that this species of mosquito has now got a foothold in Europe.
This also shows the folly of assuming that AIDS cannot adapt to vector born
methods and species in the USA and Europe which could pass AIDS to humans.
Eurosurveillance Weekly -
Issue 34, August 19, 1999
Airport malaria in Luxembourg
three cases of Plasmodium falciparum malaria have been diagnosed in people who
had visited a malaria endemic area. A husband and wife had travelled by air from
Luxembourg to Scotland via Brussels on 30 May and returned on 18 June. The woman
was admitted to the Centre Hospitalier de Luxembourg on 29 July with fever and
raised aminotransferases. Diagnosis was made by a blood smear and later confirmed
by the Institute of Tropical Medicine in Antwerp, Belgium. The husband who was
also febrile was advised to have a blood test, which proved positive for P. falciparum
malaria. They live in a village situated about 2 km east of Luxembourg airport.
The third patient, unrelated to the previous two, had not travelled by air. She
lives in a village situated 3 to 4 km east of the airport and was admitted to
hospital in the town of Trier in Germany. Her illness was reported widely in the
German media on 12 August.
In l997 two cases of airport P. falciparum
malaria were diagnosed in Luxembourg. One was in a child who was admitted to hospital
with a persistent fever. A blood test showed a severe pancytopenia and acute leukaemia
was suspected. When the blood smear was examined more thoroughly, it showed the
presence of P. falciparum. A few days later her mother became febrile and malaria
was diagnosed on a blood smear. Both diagnoses were confirmed by the Institute
of Tropical Medicine in Antwerp. Mother and child had recently travelled from
Luxembourg airport to Iceland, but they had never been in a malaria endemic area.
They lived in a village 1 to 2 km east of the airport .
cases of malaria have occurred during periods of high summer temperatures, which
may have allowed imported Anopheles mosquitoes to survive. A common feature of
the five cases seen in 1997 and 1999 was severe thrombocytopenia.
The diagnosis of malaria should be considered in patients with high fever without
an obvious cause, even when they have had no history of travel to a malaria endemic
country, especially if they live near an international airport and if the blood
tests show thrombocytopenia. Individual countries should check that the World
Health Organizations recommendations on aircraft disinsecting procedures
are being implemented. Luxembourg is considering whether to introduce aircraft
disinsecting on selected flights.
Reported by Dr Robert Hemmer, (email@example.com),
National Service of Infectious Diseases,
Centre Hospitalier de Luxembourg,
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