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Volume 15, Number 2—February 2009


Imported Malaria in Children in Industrialized Countries, 1992–2002

Katrin Stäger, Fabrice Legros, Gérard Krause, Nicola Low, David Bradley, Meghna Desai, Simone Graf, Stefania D’Amato, Yasutaka Mizuno, Ragnhild Janzon, Eskild Petersen, John Kester, Robert Steffen, and Patricia SchlagenhaufComments to Author 
Author affiliations: University of Zurich, Zurich, Switzerland (K. Stäger, R. Steffen, P. Schlagenhauf); Centre National de Référence de l'Epidémiologie du Paludisme d'Importation et Autochthone, Paris, France (F. Legros); Robert Koch Institut, Berlin, Germany (G. Krause); University of Bern, Bern, Switzerland (N. Low); Health Protection Agency, London, UK (D. Bradley); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (M. Desai); Swiss Federal Office of Public Health, Bern (S. Graf); Ministero della Salute, Rome, Italy (S. D’Amato); Jikei University School of Medicine, Tokyo, Japan (Y. Mizuno); Swedish Institute for Infectious Disease Control, Solna, Sweden (R. Janzon); Statens Serum Institut, Copenhagen, Denmark (E. Petersen); United Nations World Tourism Organization, Madrid, Spain (J. Kester)

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Table 4

Case-fatality ratios for children with imported malaria in 8 of 11 industrialized countries, 1992–2002*

Country Total no. cases No.
deaths Ratio (95% confidence interval)
France 4,893 10 0.20 (0.09–0.37)
Germany† 512 2 0.39 (0.05–1.40)
Italy‡ 335 0 0.00 (0.00–0.89)
Japan 15 0 0.00 (0.00–18.10)
Sweden§ 93 0 0.00 (0.00–3.17)
Switzerland 273 1 0.37 (0.01–2.02)
United Kingdom 2,502 5 0.20 (0.06–0.47)
United States 1,225 4 0.33 (0.09–0.83)

*All cases caused by Plasmodium falciparum. Children were <18 years of age, except in France and the United Kingdom, where data were available only for children <15 and <17 years of age, respectively. No data were available from Australia, Denmark, and the Netherlands.
†Data from 1993–2002 only.
‡Data from 1998–2002 only.
§Data from 1997–2002 only.

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