Malaria risk in travelers.

Imported malaria has been an increasing problem in several Western countries in the last 2 decades. To calculate the risk factors of age, sex, and travel destination in Swedish travelers, we used data from the routine reporting system for malaria (mixture of patients with and without adequate prophylaxis), a database on travel patterns, and in-flight or visa data on Swedish travelers of 1997 to 2003. The crude risk for travelers varied from 1 per 100,000 travelers to Central America and the Caribbean to 357 per 100,000 in central Africa. Travelers to East Africa had the highest adjusted odds ratio (OR = 341, 95% confidence intervals [CI] 134-886) for being reported with malaria, closely followed by travelers to central Africa and West Africa. Male travelers as well as children <1-6 years of age had a higher risk of being reported with malaria (OR = 1.7, 95% CI 1.3-2.3 and OR = 4.8, 95% CI 1.5-14.8) than women and other age groups.

**********

Imported malaria has been an increasing problem in Sweden and other Western countries in the last 2 decades. Two possible reasons for this increase are the increase in the number of travelers to tropical countries, as well as a growing number of immigrants from malaria-endemic countries (1-3). Even though the number of malaria cases has been declining during the past years in Sweden (4), the risk for travelers is still evident and should be a concern for physicians who give pretravel advice or evaluate a returning traveler with fever.

Several studies have assessed malaria risk in travelers to specific countries (5-8). The risk of a traveler's acquiring malaria has been considered highest in sub-Saharan Africa and Papua New Guinea, intermediate on the Indian subcontinent, and low in Southeast Asia and Latin America. The numbers assigned to the relative risk in these regions, however, are quite variable (9-12). The total number of travelers is often unknown, and most reports based on national reporting data therefore lack a denominator (2,9). Hence, making a risk assessment on the basis of such figures is difficult. Other approaches to achieve risk estimates are case-control studies. In 1 such Danish study, the country-specific risk for acquiring malaria varied from 714 per 100,000 travelers to Ghana to 2.5 per 100,000 to Thailand (13).

To our knowledge, no previous study based on national data over an extended period has related the number of cases of malaria diagnosed in returning travelers from malaria-endemic areas to continuously collected data on the total number of travelers to that same area. Through access to one of Europe's largest ongoing surveys on travel patterns (14) and to data on reported malaria, we analyzed the risk factors for malaria in returning Swedish travelers from 1997 to 2003.

Materials and Methods

Cases and Controls

Cases were derived from the routine Swedish reporting system. Malaria is a reportable disease in Sweden, and all patients in whom the disease is diagnosed are reported from both the clinician treating the patient and the microbiology laboratory confirming the diagnosis. By using a unique personal identification number, issued to all Swedish residents, the 2 reporting sources can be linked. Thus, all cases reported from 1997 to 2003 were included. Since routine surveillance data were not sufficiently detailed regarding information on prophylaxis, the patients included a mixture of those with and without adequate prophylaxis. To assess travel risk specifically, newly arrived immigrants and refugees, who lack a personal identification number, were excluded from the study.

Controls were obtained from the Swedish Travel and Tourist Database, a commercial ongoing survey, based on a randomized selection of 2,000 members of the Swedish population each month (14). These persons are interviewed by telephone in regard to all overnight travel (business as well as pleasure) in the preceding month, and the data are weighted and extrapolated to estimate the total numbers of Swedish travelers. When the number of respondents has been too low to give a reliable estimate of the total number of travelers to a specific country, regions (rather than single countries) are given in this database. This practice was used for all malaria-endemic countries in this report, except for Thailand, where country-specific data were available for the period 2001-2003.

Out of the total database, which contained detailed information from almost 170,000 interviews, information about all respondents who had traveled to malaria-endemic areas from 1997 to 2003 was extracted. To evaluate data quality in the travel database, the weighted and extrapolated estimates of total numbers of travelers to Thailand, India, The Gambia, and South Africa were compared with in-flight or visa data on Swedish travelers. These figures were obtained by courtesy of the embassies of the respective country in Sweden, except for The Gambia, where the figures were supplied by the Central Statistics Department of the Gambia, (through the courtesy of the Swedish embassy in Dakar, Senegal). For each study participant (patients and controls), we used the following information: age, sex, year and month of infection (patients); year and month of travel (controls); country of infection (patients); and country/region of travel (controls). No data on any illness were available for controls. The latest available information on annual malaria incidence among the local population in the studied countries and regions was accessed from the World Health Organization (WHO) (15).

Statistics

The risk for disease per 100,000 travelers, with 95% confidence intervals (95% CI), was calculated by using reporting data as numerator and the estimated total numbers of travelers from the travel database as denominator. For the 4 specific countries mentioned above, the risk per 100,000 travelers was also calculated by using in-flight and visa data as denominator. Since malaria is a rare disease in Sweden and controls were chosen randomly from the entire Swedish population, we could use odds ratios (OR) with corresponding 95% CI as relative risk estimates to assess the association between risk factors (age, sex, and travel destination) and outcome (being reported with malaria).

Each risk factor was first analyzed in a univariate model. To adjust for confounding, we then used a multivariate logistic regression model with these variables, and we also included month of travel or infection. The parameter with the lowest OR in each category was used as reference in the models. Likelihood ratio statistics were used to assess whether each variable in the model contributed significantly to the model and to test for interaction. All analyses were performed with Stata 6.0 software (Stata Corporation, College Station, TX, USA).

The travel database contains aggregated data only. Reportable data are regulated by the Communicable Disease Act and contain full personal identification. The subset of the reporting database abstracted for this study did not contain any information that could be linked to a specific person. The study was approved by the Ethics Committee of the Karolinska Institute, Stockholm, Sweden.

Results

From 1997 to 2003, a total of 975 persons were reported with malaria in Sweden; 118 of them were newly arrived immigrants or refugees and thus excluded from further analysis (Table 1). Of the remaining 857 persons, 348 were infected with Plasmodiumfalciparum, 178 with P. vivax, 47 with P. ovale, and 15 with P. malariae (Tables 2 and 3). In 269 patients, the report did not contain data on Plasmodium species. Most of these patients were seen in 1997 before the full implementation of a new reporting system that year. Little variation occurred, either in the number of reported cases or the species distribution over the period, except in the last year studied (2003), which had <65% of the mean of reported cases for the preceding years. This low figure in 2003 was mainly due to a decreased number of reported P. falciparum cases.

A total of 16,255 persons with overnight travel abroad were recorded in the travel database for the period 1997-2003. Of these, 881 (projected to a total of 3.5 million travelers) had traveled to malaria-endemic countries or regions, as defined by WHO (16) and were included as controls (Tables 3 and 4). Of the travel destinations, east Asia (mainly Thailand) was dominant.

Three quarters of all cases and 93% of the P. falciparum cases were seen in travelers from sub-Saharan Africa (Table 4). The crude risk for travelers to different regions varied from 1 per 100,000 travelers to Central America and the Caribbean to 357 per 100,000 in central Africa. In the multivariable analysis, OR for being diagnosed with any malaria species after return to Sweden was calculated for various risk factors (Table 1). Compared to the reference region (Central America and the Caribbean), travelers to East Africa had the highest OR for being reported with malaria, closely followed by travelers to central Africa and West Africa. The Indian subcontinent had an OR in the same "middle" range as southern Africa. Southeast Asia and South America had similar ORs, at the lower range. The malaria risk in Arab countries did not differ significantly from the risk in Central America and the Caribbean.

Malaria was significantly more often diagnosed in men than in women, as well as in the age-group <1-6 years, after adjustments were made for the various confounders. The calculated malaria risk per 100,000 travelers in 4 countries with alternative sources of travel information is shown in Table 5, with risk data based on the travel database, and the annual malaria incidence reported to WHO (15) as comparisons.

Discussion

These results are based on official reports of malaria, with data from one of the largest ongoing population-based surveys on travel patterns in Europe as denominator. The laboratory method of microscopy of a blood film for malaria is well defined, and the reporting of diagnosed malaria is believed to be relatively complete in Sweden. Since case-patients are reported both by the clinician and the laboratory, the overall sensitivity of the Swedish surveillance system is comparatively high, with >95% of diagnosed diseases being reported (17).

The information in the tourist and travel database and the reporting database were not fully consistent. The travel database did not contain any data on travel-related illnesses, while the official reports did not contain information on length of stay. Previous studies have shown that the duration of stay influences the risk for malaria (5,12,13), but this factor could not be evaluated in this study. Because the tourist and travel database classification sometimes included both malaria-endemic and malarianonendemic countries within the same region, some travelers who only visited regions that were not malaria-endemic were included in the denominator for the region. Therefore, the risk for the region may be underestimated, e.g., in east Asia, which includes several malariafree countries. However, many of these countries are comparatively rare as tourist destinations.

To further evaluate the precision of the estimates from the tourist database, we also used official in-flight and visa data obtained from 4 countries. Risk estimates from the 2 sources for Thailand and The Gambia/West Africa had good agreement. For India and the Indian Subcontinent and South Africa/southern Africa, where we did not have any tourist data per country, most travelers were going to India and South Africa, respectively, while most malaria patients were from other countries in these regions. The risk estimates from the 2 sources were therefore in less agreement with each other in these regions.

We found that men had a significantly higher risk of being reported with malaria compared to women. A predominance of imported malaria infections in male patients has been documented before (2,5,18,19); men are often also less compliant with chemoprophylaxis than women (5). We also found that children <6 years of age had a significantly higher risk of being reported with malaria. To our knowledge, this risk has not been described before. Many of these young children belonged to immigrant families with roots in the country of infection, where they visited friends and relatives; such children are referred to as "VFRs" (20,21). Parents may be unaware of the fact that the children lack the immunity against malaria when returning "home."

According to official statistics from the Swedish Migration Board, >775,000 persons were granted permanent residence permit in Sweden during the period 1980-2002. A large proportion of these persons came from countries where malaria is highly endemic. A survey based on Norwegian surveillance data has shown that the incidence of malaria was higher in VFRs than in people of Norwegian origin (22). In our study, distinguishing native Swedes from persons with an origin in other countries was not possible among controls. However, reporting data, which often includes this information, indicated that a large number of the patients were VFRs who had visited countries outside usual tourist routes, including Somalia, Ethiopia, Uganda, Bangladesh, and Pakistan. Our data thus suggest that VFRs are a risk group requiring special attention. These persons may be less inclined than other travelers to get pretravel advice and to use chemoprophylaxis against malaria (21,23).

P. falciparum malaria is the prime target for chemoprophylaxis to prevent death and severe disease. Although we considered doing a separate risk analysis for this species, reporting at the species level in the first year of the study was not sufficiently complete to allow for meaningful analysis. Furthermore, other malaria species also contribute substantially to malaria illness in travelers (24). Falciparum malaria is a clinically overt disease and will most probably be diagnosed. For other malaria species, a few cases, especially in persons with partial immunity, might be missed, thus underestimating the true risk.

No systematically collected data on chemoprophylaxis are included in this study, an obvious limitation when assessing the malaria risk. However, previously published reporting data from 2003 for P. falciparum infection indicate that 12 of 17 Swedish travelers had not taken any prophylaxis, and another 2 had taken drugs with insufficient effect for the country they visited. Of 34 VFRs, only a few had taken prophylaxis (25). Prophylaxis influences the number of cases, as do other factors associated with the behavior of individual travelers, such as use of mosquito-protective measures and the standard of housing visited, on which we do not have any information from reports. Furthermore, local malaria transmission intensity is key to the malaria risk for a traveler. Within several malaria-endemic countries, the risk for malaria varies greatly, reflecting local transmission intensity at the district level (16,26,27). This local variation, together with the different travel patterns within countries, may greatly influence the risk of travelers contracting malaria. For example, in Thailand, most Swedish travelers go to areas of the country in which no malaria occurs, a fact that could partly explain the low incidence in Swedish travelers compared to WHO data on local incidence. This low incidence in Swedish travelers is in line with a previously cited report on malaria risk in Danish residents traveling to Thailand (13), where the risk was estimated to be 2.5 per 100,000 travelers. Our corresponding figure, with denominator data from the embassy, was 2.1 per 100,000. A British study reported a slightly higher risk, 8.2 per 100,000 (6). All 7 Swedish travelers who contracted P. falciparum malaria in Thailand from 1997 to 2003 had visited regions outside of the usual charter tourist destinations, such as remote national parks and jungle areas. Another example is The Gambia, where the average Swedish tourist often stays most (or all) of the vacation in beach resorts by the coast, where the malaria transmission intensity is lower than in inland areas (28).

Discrepancies do exist between the calculated risks for Swedish travelers to have malaria diagnosed in Sweden after traveling to malaria-endemic regions, and the incidence rates of patients in the same regions reported to WHO. Several factors could explain these differences, including the small number of Swedish malaria cases, the fact that indigenous malaria is associated with more than just transmission intensity, i.e., poverty (29), duration of exposure, and different sensitivity of the surveillance and reporting systems in different countries. Data from Africa, especially, are incomplete (29).

In general, the order of magnitude of the relative risk for malaria in the different regions was consistent with earlier data on relative malaria risk for travelers (9-12). Based on these risk data, we divided the regions into 3 groups: sub-Saharan Africa (except for southern Africa) exhibited the greatest relative risk for malaria in returning travelers (>250), followed by India and southern Africa (relative risk [RR] [approximately equals] 50) and at the lower end Southeast Asia, South America, and the Arab countries (RR <10). A number of other studies have shown higher risk for acquiring malaria in West Africa compared to East Africa (5,8). Our data show higher risk in those visiting central Africa and West Africa than East Africa, corresponding to these previous studies. Our results are representative for the overall malaria risk in Swedish travelers and are also likely to reflect the risk in travelers from other European countries.

This study confirms that the risk of a traveler's contracting malaria is highest in Africa, south of the Sahara, and that male travelers and small children constitute groups with increased risks. Furthermore the added complexity of immigrants from malaria-endemic areas needs to be considered when discussing malaria prevention among travelers. All pretravel advice needs to be individualized for each traveler, based on the exact travel route, season, and type of travel.

Table 1. Reported cases of malaria in Sweden, by group of patients,
1997-2003

Category of infection    1997    1998    1999    2000    2001    2002

Immigrants/refugees       10      16      23      14      13      24
Travel associated        157     144     124     112     127     111
Total                    167     160     147     126     140     135

Category of infection    2003    Total

Immigrants/refugees       18      118
Travel associated         82      857
Total                    100      975

Table 2. Reported travel-associated cases of malaria in Sweden,
1997-2003

Source of infection      1997    1998    1999    2000    2001    2002

Plasmodium falciparum     10      56      55      60      58      65
P. malariae                0       0       1       5       4       4
P. ovale                   2      11       4       8       7      10
P. vivax                  12      34      33      19      40      21
Unspecified species      133      43      31      20      18      11
Total                    157     144     124     112     127     111

Source of infection      2003    Total

Plasmodium falciparum     44     348
P. malariae                1      15
P. ovale                   5      47
P. vivax                  19     178
Unspecified species       13     269
Total                     82     857

Table 3. Reported travel-associated cases of malaria in Sweden by
species of malaria, 1997-2003

                               Plasmodium
Region                         falciparum     P. malariae

Arab countries and Iran              0             0
Indian subcontinent                  4             0
East Asia                           16             1
West Africa                        141             5
East Africa                         87             5
Central Africa                      58             4
Southern Africa                     40             0
Central America + Caribbean          1             0
South America                        1             0
Total                              348            15

Region                          P. ovale       P. vivax

Arab countries and Iran             0               2
Indian subcontinent                 3              42
East Asia                           0              64
West Africa                        14               9
East Africa                        14              31
Central Africa                      9               8
Southern Africa                     6               6
Central America + Caribbean         0               4
South America                       1              12
Total                              47             178

Region                         Unspecified       Total

Arab countries and Iran              2              4
Indian subcontinent                 25             74
East Asia                           30            111
West Africa                         73            242
East Africa                         79            216
Central Africa                      28            107
Southern Africa                     26             78
Central America + Caribbean          2              7
South America                        4             18
Total                              269            857

Table 4. Estimated number of travelers to malaria-endemic areas,
respondents in the tourist database (controls), and reported patients
with travel-associated malaria, 1997-2003 *

                               Estimated no.                Reported
Age/sex/region ([dagger])      of travelers     Controls     cases

Total                            3,560,000        881         857
[less than or equal to] 6 y         70,000         18          38
7-18 y                             300,000         74          91
19-45 y                          1,630,000        404         506
46-65 y                          1,340,000        331         205
>65 y                              220,000         54          17
Men                              1,790,000        444         536
Women                            1,770,000        437         321
Arab countries and                 220,000         44           4
Iran ([double dagger])
Indian subcontinent                120,000         31          74
East Asia                        2,050,000        517         111
West Africa                         80,000         22         242
East Africa                         90,000         18         216
Central Africa                      30,000          8         107
Southern Africa                    170,000         42          78
Central America +                  550,000         43           7
Caribbean
South America                      250,000         61          18

                               Risk per                Multivariate
Age/sex/region ([dagger])      100,000      95% CI      odds ratio

Total                            24         22-26           --
[less than or equal to] 6 y      54         31-95           4.8
7-18 y                           30         22-41           2.7
19-45 y                          31         27-35           4.1
46-65 y                          15         13-18           2.0
>65 y                             7.7        4-13           1.0
Men                              30         26-34           1.7
Women                            18         16-21           1.0
Arab countries and                1.8      0.7-5.1          1.7
Iran ([double dagger])
Indian subcontinent              62         41-94          57.4
East Asia                         5.4      4.4-6.6          5.6
West Africa                     302        196-468        277
East Africa                     240        148-388        341
Central Africa                  357        174-732        317
Southern Africa                  46         32-67          49.6
Central America +                 1.3      0.6-2.7          1.0
Caribbean
South America                     7.2      4.3-12.2         7.1

                                            Incidence/
Age/sex/region ([dagger])       95% CI       100,000

Total                             --          36,865
[less than or equal to] 6 y    1.5-14.8      No data
7-18 y                         1.1-6.0       No data
19-45 y                        1.9-9.0       No data
46-65 y                        0.9-4.3       No data
>65 y                          Reference     No data
Men                            1.3-2.3       No data
Women                          Reference     No data
Arab countries and             0.5-6.4        1,279
Iran ([double dagger])
Indian subcontinent             23-141           366
East Asia                      2.5-12.5          205
West Africa                    112-683        13,356
East Africa                    134-866         7,126
Central Africa                 108-930         5,508
Southern Africa                 21-119         7,742
Central America +              Reference         155
Caribbean
South America                  2.7-18.4        1,205

* With a multivariate odds ratios (with 95% confidence intervals [CI])
for the risk factors age, sex, and travel destination from a logistic
regression model, and incidence per 100,000 inhabitants as reported to
the World Health Organization (15).

([dagger]) Malaria-free countries as defined by the World Health
Organization (16).

([double dagger]) Arab countries and Iran = Bahrain, ([dagger]) Iraq,
Iran, Jordan, ([dagger]) Kuwait, ([dagger]) Lebanon, ([dagger]) Oman,
Qatar, ([dagger]) Saudi Arabia, Syria, United Arab Emirates, Yemen;
Indian Subcontinent = Afghanistan, Bangladesh, Bhutan, India, Maldives,
([dagger]) Nepal, Pakistan, Sri Lanka; East Asia = Brunei, Burma,
Cambodia, China, Hong Kong, ([dagger]) Indonesia, Japan, ([dagger])
Laos, Malaysia, Mongolia, ([dagger]) Philippines, South Korea,
Singapore, ([dagger]) Taiwan, ([dagger]) Thailand, Tibet, ([dagger])
Vietnam; West Africa = Benin, Burkina Faso, Cape Verde, Ghana, Guinea,
Guinea-Bissau, Ivory Coast, Liberia, Mali, Mauritania, Senegal, Sierra
Leone, The Gambia, Togo; East Africa = Burundi, Djibouti, Eritrea,
Ethiopia, Kenya, Rwanda, Seychelles, ([dagger]) Somalia, Sudan,
Tanzania, Uganda; Central Africa = Cameroon, Central African Republic,
Chad, Congo, Democratic Republic of Congo, Equatorial Guinea, Gabon,
Niger, Nigeria, Sao Tome et Principe; Southern Africa = Angola;
Botswana, Lesotho, Madagascar, Malawi, Mauritius, ([dagger])
Mozambique, Namibia, South Africa, Zambia, Zimbabwe; Central America
and Carribean = Antigua and Barbuda, ([dagger]) Bahamas, ([dagger])
Barbados, ([dagger]) Belize, Bermuda, ([dagger]) Cayman Islands,
([dagger]) Costa Rica, Cuba, ([dagger]) Dominica, ([dagger]) Dominican
Republic, El Salvador, Grenada, ([dagger]) Guadeloupe, ([dagger])
Guatemala, Honduras, Jamaica, ([dagger]) Haiti, Martinique, ([dagger])
Mexico, Netherlands Antilles, ([dagger]) Nicaragua, Panama, Puerto
Rico, ([dagger]) St. Christopher and Nevis, ([dagger]) St. Lucia/St.
Vincent, ([dagger]) Saint Kitts-Nevis, ([dagger]) The Grenadines,
([dagger]) Trinidad and Tobago, ([dagger]) Virgin Islands; ([dagger])
South America = Bolivia, Brazil, Colombia, Ecuador, French Guiana,
Guyana, Paraguay, Peru, Suriname, Uruguay, ([dagger]) Venezuela.

Table 5. Malaria risk for officially reported travelers compared to
incidence (as reported to WHO, 2001 *) and estimated rate (based on
TDB) in corresponding region ([dagger])

Country                Y              Cases

Thailand           2001-2002             9
India              2001-2003             7
Indian             2001-2003            25
subcontinent                    ([double dagger])
Gambia             1997-2003            79
West Africa        1997-2003           242
                                   ([section])
South Africa       1997-2001             3
Southern Africa    1997-2001            63
                                  ([paragraph])

                   Data from in-flight/visa     Data from TDB

                    No. of                         No. of
Country            travelers    Risk/100,000      travelers

Thailand            453,000          2.0           435,000
India                48,687         14.4             --
Indian                --             --             72,000
subcontinent
Gambia               31,242        253               --
West Africa           --             --             80,000
South Africa         98,886          3               --
Southern Africa       --             --            128,000

                        Data from TDB
                                                Data from WHO
Country            Risk/100,000    95% CI     incidence/100,000

Thailand                2.1        1.0-4.2         100
India                   --           --            192
Indian                 35           17-71            --
subcontinent
Gambia                  --           --             10.096
West Africa           302          196-468           --
South Africa            --            -             61
Southern Africa        49           32-76            --

* Information from The Gambia was from 1999.

([dagger]) WHO, World Health Organization (15);TDB, Swedish Travel and
Tourist Database; CI, confidence intervals.

([double dagger]) 7 cases from India, 13 cases from Afghanistan, and 5
cases from Pakistan.

([section]) 6 cases from Benin, 4 cases from Burkina Faso, 31 cases
from Ivory Coast, 79 cases from The Gambia, 65 cases from Ghana, 11
cases from Guinea, 5 cases from Guinea-Bissau, 11 cases from Liberia, 3
cases from Mali, 11 cases from Senegal, 11 cases from Sierra Leone, and
5 cases from Togo.

([paragraph]) 14 cases from Angola, 5 cases in Madagascar, 8 cases from
Malawi, 13 cases from Mozambique, 3 cases from Namibia, 3 cases from
South Africa, 7 cases from Zambia, and 10 cases from Zimbabwe.

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Dr. Askling is a resident physician at the Swedish Institute for Infectious Disease Control, with a special interest in international health, travel medicine, and infectious diseases epidemiology.

Address for correspondence: Karl Ekdahl, Department of Epidemiology, Swedish Institute for Infectious Disease Control, SE-171 82 Solna, Sweden; fax: [phone]; email: [e-mail]

Helena Hervius Askling, * ([dagger]) Jenny Nilsson, * ([dagger]) Anders Tegnell, * Ragnhild Janzon, * and Karl Ekdahl * ([double dagger])

* Swedish Institute for Infectious Disease Control, Stockholm, Sweden; ([dagger]) Karolinska University Hospital, Stockholm, Sweden; and ([double dagger]) Karolinska Institute, Stockholm, Sweden