TY - JOUR AU - Guarda, Javier AramburĂș AU - Asayag, CĂ©sar Ramal AU - Witzig, Richard T1 - Malaria Reemergence in the Peruvian Amazon Region T2 - Emerging Infectious Disease journal PY - 1999 VL - 5 IS - 2 SP - 209 SN - 1080-6059 AB - Epidemic malaria has rapidly emerged in Loreto Department, in the Peruvian Amazon region. Peru reports the second highest number of malaria cases in South America (after Brazil), most from Loreto. From 1992 to 1997, malaria increased 50-fold in Loreto but only fourfold in Peru. Plasmodium falciparum infection, which has increased at a faster rate than P. vivax infection in the last 3 years, became the dominant Plasmodium infection in the highest transmission areas in the 1997 rainy season. The vector Anopheles darlingi has also increased during this epidemic in Loreto. Moreover, chloroquine and pyrimethamine-sulfadoxine drug-resistant P. falciparum strains have emerged, which require development of efficacious focal drug treatment schemes. KW - Peru KW - United States DO - 10.3201/eid0502.990204 UR - https://wwwnc.cdc.gov/eid/article/5/2/99-0204_article ER - End of Reference