ABSTRACT
Despite advances in treatment and prevention, malaria still carries significant morbidity and mortality. Cases of malaria in the United States are rare and cases of severe malaria, mostly attributable to Plasmodium falciparum, are even more uncommon. With the coronavirus disease 2019 (COVID-19) pandemic, there have been distractions in evaluation and diagnosis leading to a rise in cases and deaths. We present a case of autoimmune dysregulation and blackwater fever secondary to severe malaria, requiring multiple courses of antimalarial therapy. Careful travel history and prompt recognition and treatment facilitates improved patient survival and recovery.
ABSTRACT
International travel and the infrastructures involved are key elements in controlling and predicting the number of infections by an infectious disease (specifically COVID-19 cases). This research presents the rates or percentages of compliance with COVID-19 mitigation measures at several international airports in Europe (Madrid, Dublin, Paris-Charles de Gaulle, Zurich, Barcelona, and Bilbao). A structured survey called the COVID-19 Measures Implementation Rate at Airports (MIRA) was developed. First, the validity and reliability of the measurements obtained by MIRA were analyzed. A total of 1239 volunteers (passengers, cabin crew, and ground crew) participated in the study and answered the MIRA questionnaire. Second, once the validity and reliability of the measurements were assured, the rates or percentages of cases that observed compliance with the mitigation measures were calculated. The results indicated that participants perceived a low degree of compliance with sanitary measures in their international travel (the proportions ranged from 52.6% to 59%). The airports with the highest compliance with mitigation measures were the Dublin (with a rate of 70%) and Zurich airports (with a rate of 69.1%). In conclusion, the percentages could be low due to the ineffective implementation of some of the mitigation measures. The low percentages are not related to the health measures themselves. The implications of mitigation measures for containing the transmission of infectious diseases such as COVID-19 are discussed.
ABSTRACT
As international travels and destinations increase, travel-related infections increase. It is reported that 6-87% of the travellers contract travel-related infection during or after the trip. Vector-associated pathogens comprise a significant percentage of travel-related infections. Apart from the ubiquitous COVID19, threats such as Dengue, Chikungunya and Zika virus and tick-borne agents have emerged or re-emerged in recent years. The fact that these infections are carried with similar vectors and cause similar symptoms makes diagnosis difficult. Herein, a case of travel-associated infection with nonspecific symptoms is presented.