TY - JOUR AU - MacLean, J. Dick AU - Demers, Anne-Marie AU - Ndao, Momar AU - Kokoskin, Evelyne AU - Ward, Brian J. AU - Gyorkos, Theresa W. T1 - Malaria Epidemics and Surveillance Systems in Canada T2 - Emerging Infectious Disease journal PY - 2004 VL - 10 IS - 7 SP - 1195 SN - 1080-6059 AB - In the past decade, fluctuations in numbers of imported malaria cases have been seen in Canada. In 1997–1998, malaria case numbers more than doubled before returning to normal. This increase was seen in no other industrialized country. The Canadian federal malaria surveillance system collects insufficient data to interpret these fluctuations. Using local (sentinel), provincial, federal, and international malaria surveillance data, we evaluate and interpret these fluctuations. Several epidemics are described. With an ever-increasing immigrant and refugee population of tropical origin, improved surveillance will be necessary to guide public health prevention policy and practice. The Canadian experience is likely to be generalizable to other industrialized countries where malaria is a reportable disease within a passive surveillance system. KW - malaria KW - surveillance KW - epidemic KW - Canada KW - perspective DO - 10.3201/eid1007.030826 UR - https://wwwnc.cdc.gov/eid/article/10/7/03-0826_article ER - End of Reference