Malaria Hyperendemicity and Risk for Artemisinin Resistance among Illegal Gold Miners, French Guiana

Vincent Pommier de Santi, Félix Djossou, Nicolas Barthes, Hervé Bogreau, Georges Hyvert, Christophe Nguyen, Stéphane Pelleau, Eric Legrand, Lise Musset, Mathieu Nacher, Sébastien Briolant, Vincent Pommier de Santi, Félix Djossou, Nicolas Barthes, Hervé Bogreau, Georges Hyvert, Christophe Nguyen, Stéphane Pelleau, Eric Legrand, Lise Musset, Mathieu Nacher, Sébastien Briolant

Abstract

To assess the prevalence of malaria among illegal gold miners in the French Guiana rainforest, we screened 205 miners during May-June 2014. Malaria prevalence was 48.3%; 48.5% of cases were asymptomatic. Patients reported self-medication with artemisinin-based combination therapy. Risk for emergence and spread of artemisinin resistance among gold miners in the rainforest is high.

Keywords: Barthes N; Bogreau H; Djossou F; French Guiana; French Guiana. Emerg Infect Dis. 2016 May [date cited]. http://dx.doi.org/10.3201/eid2205.151957; Hyvert G; Nguyen C; Suggested citation for this article: Pommier de Santi V; antimicrobial resistance; artemisinin; epidemiology; et al. Malaria hyperendemicity and risk for artemisinin resistance among illegal gold miners; hyperendemicity; illegal gold mining; malaria; parasites; vector-borne infections.

Figures

Figure 1
Figure 1
Origins of gold miners (N = 205) before they began to work in the illegal gold mining site of Eau Claire, French Guiana. Inset shows location of French Guiana in South America.
Figure 2
Figure 2
Travels of gold miners (N = 205) living in Eau Claire, French Guiana, 2013–2014. Inset shows location of French Guiana in South America.

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Source: PubMed

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