- Klara Sondén1,2, Thierry Rolling3,4, Andreas Wångdahl1,5, Elsie Ydring6, Sabine Vygen-Bonnet7, Robert Kobbe8, Johan Douhan1, Ulf Hammar9, Janneke Duijster10, Brechje de Gier10, Joanne Freedman11, Nicole Gysin12, Klaus Stark7, Flora Stevens11, Lasse Skafte Vestergaard13, Anders Tegnell6, Anna Färnert1,2
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View Affiliations Hide AffiliationsAffiliations: 1 Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden 2 Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden 3 Division of Infectious Diseases, I. Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany 4 Clinical Research Department, Bernhard-Nocht-Institute for Tropical Medicine, Hamburg, Germany 5 Department of Infectious Diseases, Västmanland Hospital, Västerås, Sweden 6 Public Health Agency of Sweden, Stockholm, Sweden 7 Robert Koch Institute, Berlin, Germany 8 Department of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany 9 Unit of Biostatistics, Department of Epidemiology, Institute for Environmental Medicine, Karolinska Institutet, Stockholm, Sweden 10 Department for Early Warning and Surveillance Center for Epidemiology and Surveillance of Infectious Diseases, National Institute for Public Health and the Environment, Bilthoven, the Netherlands 11 Public Health England, London, United Kingdom 12 Federal Office of Public Health, Bern, Switzerland 13 Statens Serum Institute, Copenhagen, DenmarkKlara Sondénklara.sonden ki.se
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Citation style for this article: Sondén Klara, Rolling Thierry, Wångdahl Andreas, Ydring Elsie, Vygen-Bonnet Sabine, Kobbe Robert, Douhan Johan, Hammar Ulf, Duijster Janneke, de Gier Brechje, Freedman Joanne, Gysin Nicole, Stark Klaus, Stevens Flora, Vestergaard Lasse Skafte, Tegnell Anders, Färnert Anna. Malaria in Eritrean migrants newly arrived in seven European countries, 2011 to 2016. Euro Surveill. 2019;24(5):pii=1800139. https://doi.org/10.2807/1560-7917.ES.2019.24.5.1800139 Received: 18 Mar 2018; Accepted: 30 Sep 2018
Malaria in Eritrean migrants newly arrived in seven European countries, 2011 to 2016
Abstract
Global migration has resulted in a large number of asylum applications in Europe. In 2014, clusters of Plasmodium vivax cases were reported among newly arrived Eritreans. This study aimed to assess malaria among Eritrean migrants in Europe from 2011 to 2016. We reviewed European migration numbers and malaria surveillance data for seven countries (Denmark, Germany, Netherlands, Norway, Sweden, Switzerland and the United Kingdom) which received 44,050 (94.3%) of 46,730 Eritreans seeking asylum in Europe in 2014. The overall number of malaria cases, predominantly P. vivax, increased significantly in 2014 compared to previous years, with the largest increases in Germany (44 P. vivax cases in 2013 vs 294 in 2014, p < 0.001) and Sweden (18 in 2013 vs 205 in 2014, p < 0.001). Overall, malaria incidence in Eritreans increased from 1–5 to 25 cases per 1,000, and was highest in male teenagers (50 cases/1,000). In conclusion, an exceptional increase of malaria cases occurred in Europe in 2014 and 2015, due to rising numbers of Eritreans with high incidence of P. vivax arriving in Europe. Our results demonstrate potential for rapid changes in imported malaria patterns, highlighting the need for improved awareness, surveillance efforts and timely healthcare in migrants.

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