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Title: Malaria in pregnancy in the Asia-Pacific region
Authors: Marcus J. Rijken
Rose McGready
Machteld E. Boel
Rini Poespoprodjo
Neeru Singh
Din Syafruddin
Stephen Rogerson
François Nosten
Shoklo Malaria Research Unit
University of Oxford
Mahidol University
Menzies School of Health Research
Mimika District Health Authority
Indian Council of Medical Research
National Institute of Malaria Research India
Eijkman Institute for Molecular Biology
University of Melbourne
Keywords: Medicine
Issue Date: 1-Jan-2012
Citation: The Lancet Infectious Diseases. Vol.12, No.1 (2012), 75-88
Abstract: Most pregnant women at risk of for infection with Plasmodium vivax live in the Asia-Pacific region. However, malaria in pregnancy is not recognised as a priority by many governments, policy makers, and donors in this region. Robust data for the true burden of malaria throughout pregnancy are scarce. Nevertheless, when women have little immunity, each infection is potentially fatal to the mother, fetus, or both. WHO recommendations for the control of malaria in pregnancy are largely based on the situation in Africa, but strategies in the Asia-Pacific region are complicated by heterogeneous transmission settings, coexistence of multidrug-resistant Plasmodium falciparum and Plasmodium vivax parasites, and different vectors. Most knowledge of the epidemiology, effect, treatment, and prevention of malaria in pregnancy in the Asia-Pacific region comes from India, Papua New Guinea, and Thailand. Improved estimates of the morbidity and mortality of malaria in pregnancy are urgently needed. When malaria in pregnancy cannot be prevented, accurate diagnosis and prompt treatment are needed to avert dangerous symptomatic disease and to reduce effects on fetuses. © 2012 Elsevier Ltd.
ISSN: 14744457
Appears in Collections:Scopus 2011-2015

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