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This is an official
CDC HEALTH ADVISORY

Distributed via Health Alert Network
Tuesday, November 30, 2004, 15:15 EST (03:15 PM EST)
CDCHAN-00217-2004-11-30-ADV-N

Revised Recommendations for Malaria Prophylaxis in Dominican Republic

CDC has received reports of 2 cases of malaria in November 2004 in U.S. travelers to the Dominican Republic whose visits were limited to Punta Cana (La Altagracia Province) and San Francisco de Macoris (Duarte Province). During the same period at least 2 more cases have been reported in European travelers who visited Punta Cana. CDC has recommended malaria prophylaxis for travelers to rural areas in the Dominican Republic but not for travel to resorts. In light of these reports, as a precautionary measure, CDC is expanding the recommendations to include chloroquine prophylaxis for travelers to all areas in La Altagracia Province, including the Punta Cana area, and also to all areas of Duarte Province. The Ministry of Health in the Dominican Republic has implemented malaria control measures, including intensified surveillance, prompt case management, and intensive mosquito control activities. CDC will continue to monitor the situation and provide updates on these recommendations.


Health care providers needing assistance with diagnosis or management of suspected cases of malaria should call the CDC Malaria Hotline: 770-488-7788 (M-F, 8am-4:30 pm, eastern time). For emergency consultation after hours, call: 770-488-7100 and request to speak with a CDC Malaria Branch clinician.


Additional information about malaria and its prevention is available at http://www.cdc.gov/malaria/ and http://www.cdc.gov/travel/.


The Centers for Disease Control and Prevention (CDC) protects people's health and safety by preventing and controlling diseases and injuries; enhances health decisions by providing credible information on critical health issues; and promotes healthy living through strong partnerships with local, national and international organizations.

DEPARTMENT OF HEALTH AND HUMAN SERVICES


HAN Message Types
  • Health Alert: Conveys the highest level of importance; warrants immediate action or attention. Example: HAN00001
  • Health Advisory: Provides important information for a specific incident or situation; may not require immediate action. Example: HAN00316
  • Health Update: Provides updated information regarding an incident or situation; unlikely to require immediate action. Example: HAN00309
  • Info Service: Provides general information that is not necessarily considered to be of an emergent nature. Example: HAN00319

 

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