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Archive Number 20091106.3828
Published Date 06-NOV-2009
Subject PRO/EDR> Malaria, autochthonous - Italy: (LT), RFI

MALARIA, AUTOCHTHONOUS - ITALY: (LATINA), REQUEST FOR INFORMATION
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Date: Thu 5 Nov 2009
Source: Corriera Della Sera [edited]
<http://roma.corriere.it/roma/notizie/cronaca/09_novembre_3/malaria_marangon-1601951442853.shtml>


Dr Fabrizio Soscia, chief of the department of infectious diseases at the 
Civil Hospital of Latina, reassured the community after the discovery of a 
case of malaria contracted by a tourist in Rome after a short stay near 
Lake Fondi (Latina).

The Roman visitor, who stayed in the area between Monte San Biagio and 
Fondi, is well after being treated at the Spallanzani Hospital in Rome. The 
patient had not been abroad, and, therefore, the Ministry of Health has 
initiated a surveillance of the anopheline mosquitoes in the area.

WHO declared Italy free from malaria in 1970, and this is the 1st case of 
malaria in which the person was infected in Italy since then.

-- 
Professor Beniamino Cenci Goga, DVM, PhD, mECVPH
Facoltà di Medicina Veterinaria di Perugia
<cencigog@unipg.it>

[The story implies an incubation period of 2-3 months, suggesting that the 
infection was with _Plasmodium vivax_. Lake Fondi is part of the Pontine 
marshes, an area endemic for malaria until drainage works were completed in 
the 1930s [subsequently sabotaged by the Nazis in world war two, but later 
drained again. - Mod.SH].

It is conceivable that malaria may have returned to the area, but other 
possibilities exist. The patient could have been infected elsewhere by 
mosquitoes transmitting malaria from asymptomatic gametocyte carriers, and 
this could have taken place anywhere.

ProMED-mail reported similarly unexplained cases from Virginia (United 
States) in 2002 (PRO/EDR> Malaria - United States (Virginia) 
20020907.5250). We would welcome further information about this case. - Mod.EP]

[see also:
2006
---
Malaria, autochthonous - France (Corsica) 20061117.3286
2002
---
Malaria - United States (Virginia) 20020907.5250
2000
---
Malaria, vivax - Germany ex Greece 20000713.1158
1998
---
Malaria - USA (Virginia) 19980802.1470
1997
---
Malaria, locally acquired - USA (Georgia) 19970329.0664]

...............ep/msp/sh



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