Is Malaria Making a Comeback in the US?

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Discussion Overview

The discussion centers around the recent cases of locally transmitted malaria in the United States, specifically focusing on the implications of these cases, historical context, and potential factors contributing to the resurgence of malaria. Participants explore various aspects including climate, migration, and historical eradication efforts.

Discussion Character

  • Exploratory
  • Debate/contested
  • Historical

Main Points Raised

  • Some participants note that malaria was previously endemic in the US, with vivax and falciparum strains affecting different regions.
  • There is a concern about the political will to take strong actions if malaria were to re-establish itself, especially given the historical context of eradication efforts using DDT.
  • One participant mentions the specific location of the Texas case, highlighting the southernmost county near Brownsville and Harlingen.
  • Another participant references data indicating low malaria risk in Central America, suggesting that malaria can be controlled with concerted efforts and resources.
  • Some participants discuss the differences in prevalence between falciparum and vivax strains in various regions, noting that falciparum is almost non-existent in Central America while vivax is more common.
  • There are questions raised about the role of climate, migration, and international travel in the potential resurgence of malaria and other diseases.
  • Participants express concern about the implications of increased international travel and trade on the spread of diseases, including malaria.

Areas of Agreement / Disagreement

Participants express a range of views regarding the implications of the recent malaria cases, with no clear consensus on the causes or future risks associated with malaria's potential re-establishment in the US.

Contextual Notes

Participants mention the historical use of DDT and its ban, as well as the impact of international travel on disease transmission, without resolving the complexities of these issues.

BWV
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5 cases of locally transmitted malaria in the US
https://www.nbcnews.com/health/heal...aria-acquired-locally-texas-florida-rcna91192

Vivax used to be endemic for most of the country with the more deadly falciparum entrenched in the South. The importation of Malaria by Europeans was a primary factor in creating a demand for African slaves, which had an acquired resistance to falciparum.

Scary stuff- malaria was eradicated in the US in the 40s with massive use of DDT. These cases are all apparently vivax. I wonder if the political will would be there if strong actions were needed to prevent malaria's re-establishment
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BWV said:
5 cases of locally transmitted malaria in the US
https://www.nbcnews.com/health/heal...aria-acquired-locally-texas-florida-rcna91192

Vivax used to be endemic for most of the country with the more deadly falciparum entrenched in the South. The importation of Malaria by Europeans was a primary factor in creating a demand for African slaves, which had an acquired resistance to falciparum.

Scary stuff- malaria was eradicated in the US in the 40s with massive use of DDT. These cases are all apparently vivax. I wonder if the political will would be there if strong actions were needed to prevent malaria's re-establishment
View attachment 328425
Climate? Anything else in terms of pathogens? Migration?
 
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The one Texas case was in the southernmost county that contains Brownsville and Harlingen, not sure about the FL cases
 
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pinball1970 said:
Climate? Anything else in terms of pathogens? Migration?
Malaria was endemic in large parts of the US and it took a lot of effort to eradicate it, a lot of European countries continue to use preventative measures to prevent it becoming re-established. When the eco political lobby managed to get DDT banned, there was a marked increase in deaths in Africa, some countries have returned to using it. This will be from someone infected coming from abroad, female mosquitoes like a blood meal before breeding, some apparently like two meals and these are the problem if one bites an infected individual and then bites someone else that's when you get transmission. All the cases in the USA identified, have been successfully treated. So the question now is are there any more infected and if there are quite a few the chance of it becoming established increases. It's the increase in international travel and trade that's the big problem these days, there is currently a surge in measles cases across the world, so they advising people who want to travel to get their immunisations boosted. The return of some of the old diseases could be a much bigger problem than malaria.
 
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