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Table of Contents   
LETTER TO THE EDITOR  
Year : 2014  |  Volume : 7  |  Issue : 4  |  Page : 209
Active community screening for malaria in hilltribal community: Limitation


1 MaeJam Hospital, Chiangmai, China
2 Hainan Medical University, Hainan, China

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Date of Web Publication5-Mar-2015
 

How to cite this article:
Suyaphan A, Wiwanitkit V. Active community screening for malaria in hilltribal community: Limitation. Ann Trop Med Public Health 2014;7:209

How to cite this URL:
Suyaphan A, Wiwanitkit V. Active community screening for malaria in hilltribal community: Limitation. Ann Trop Med Public Health [serial online] 2014 [cited 2019 Sep 20];7:209. Available from: http://www.atmph.org/text.asp?2014/7/4/209/152737
Sir,

Malaria is still a big problem in the rural remote area of Thailand. In the northern region, the area with many hilltribes still has a high prevalence of malaria. In Maejam district, Chiangmai, Thailand, there are many hilltribes and the malaria is still an important tropical infection. [1],[2] Within a small community hospital, up to 94 cases of malaria admitted within 1 year. [1] Due to many indexed cases, the team for active screening for malaria in the community in the service area of the hospital was performed. Active screening includes blood test for malaria. Of interest, there is no detectable case of malaria in the active screening. Based on this finding, it might imply that the active screening for malaria might be useless. In fact, there are many limitations of active community screening. First, malaria is an infectious disease that sporadically occurs at any time and it does not present as a chronic infection. Hence, screening in healthy subject seems to diagnose null prevalence of malaria. Second, due to the improved public health system in the setting, the febrile patients usually visit to the physicians when they get sick. Here, it concludes that the active screening for malaria is not recommended in this community.

 
   References Top

1.
Suyaphun A, Wiwanitkit V, Suwansaksri J, Nithiuthai S, Sritar S, Suksirisampant W, et al. Malaria among hilltribe communities in northern Thailand: A review of clinical manifestations. Southeast Asian J Trop Med Public Health 2002;33 Suppl 3:14-5.  Back to cited text no. 1
    
2.
Wiwanitkit V, Suyaphum A. Seasonal variation in the prevalence of Plasmodium vivax malarial infection : a0 n observation in Northern Thailand. MedGenMed 2005;7:7.  Back to cited text no. 2
    

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Correspondence Address:
Viroj Wiwanitkit
Hainan Medical University, Hainan
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.152737

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