{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T22:22:16Z","timestamp":1790115736263,"version":"4.0.1"},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Przegl Epidemiol"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/><strong>OBJECTIVE<\/strong>. Assessment of the epidemiological situation of imported malaria in Poland in 2014-2018 in\u00a0comparison with the situation in previous years.<br \/><strong>MATERIAL AND METHODS<\/strong>. The analysis of data on malaria cases included in individual reports sent to the\u00a0Department of Epidemiology of NIPH-NIH by sanitary-epidemiological stations and aggregate data published in\u00a0annual bulletins \u201cInfectious diseases and poisonings in Poland\u201d was carried out. Reported cases were classified\u00a0according to the criteria of the case definition applicable in EU countries (2012\/506 \/ EU).<br \/><strong>RESULTS<\/strong>. In 2014-2018, a total of 141 cases of malaria were registered in Poland, all cases were imported from\u00a0malaria-endemic countries. The lowest number of cases reported in 2014 (19 cases), and the highest in 2016 (38\u00a0cases), the median number of cases in the period 2014-2018 was 28 and was by 27% higher than in the previous\u00a05-year period. The incidence in the observed period was 0.7 per 1 million population and case fatality rate 3.6%\u00a0(5 deaths per 140 cases with known outcome). Patients were aged 18-74 years, median age was 38 years, males\u00a0accounted for 72% of all patients. In 89% of cases, infection was acquired in African countries and Cameroon\u00a0was the most frequently mentioned among countries of exposure. Species of Plasmodium was determined in\u00a090% of invasions, of which P. falciparum accounted for 78%. Most of malaria patients registered in Poland\u00a0travelled for tourism\/leisure (45%, 56\/124) or business (43%, 53\/124). People visiting the country of origin\u00a0(visiting friends and relatives, VFR) accounted for 10% of patients for whom the purpose of the trip was known.\u00a0The mean time of diagnostic delay between the onset of symptoms and the diagnosis was 6 days.<br \/><strong>CONCLUSIONS<\/strong>. In recent years, there has been an increase in the number of malaria cases in Poland compared\u00a0to previous years, but the total number of cases remains low. After a few years of low fatality rate, the number\u00a0of deaths due to malaria increased again, likewise the number of cases with diagnostic delays (> 3 days after the\u00a0onset of symptoms) and severe disease. The obtained data indicate the need to strengthen activities that raise\u00a0the awareness of travellers on available prophylaxis and need to remind primary healthcare doctors about an\u00a0extended anamnesis including travel history and the consideration of malaria in diagnosing of a febrile patient.<\/p>\n<p><strong>STRESZCZENIE<\/strong><br \/><strong>CEL<\/strong>. Ocena sytuacji epidemiologicznej malarii w Polsce w latach 2014-2018 w por\u00f3wnaniu z sytuacj\u0105 w poprzednich\u00a0latach.<br \/><strong>MATERIA\u0141 I METODY<\/strong>. Analizowano dane o zachorowaniach zawarte w indywidualnych raportach przesy\u0142anych\u00a0do Zak\u0142adu Epidemiologii Chor\u00f3b Zaka\u017anych i Nadzoru NIZP-PZH przez stacje sanitarno-epidemiologiczne\u00a0oraz dane zbiorcze publikowane w Biuletynach rocznych \u201eChoroby zaka\u017ane i zatrucia w Polsce\u201d. Zg\u0142oszone zachorowania\u00a0klasyfikowano zgodnie z kryteriami definicji przypadku obowi\u0105zuj\u0105cej w krajach EU (2012\/506\/UE).<br \/><strong>WYNIKI<\/strong>. W latach 2014-2018 zarejestrowano w Polsce 141 zachorowa\u0144 na malari\u0119, wszystkie przypadki zosta\u0142y zawleczone\u00a0z kraj\u00f3w endemicznego wyst\u0119powania malarii. Najni\u017csz\u0105 liczb\u0119 zachorowa\u0144 odnotowano w 2014 r. (19 przypadk\u00f3w),\u00a0a najwy\u017csz\u0105 w 2016 (38), mediana liczby zachorowa\u0144 w latach 2014-2018 wynosi\u0142a 28 i by\u0142a o 27% wy\u017csza\u00a0ni\u017c w poprzednim okresie 5-letnim. Zapadalno\u015b\u0107 w obserwowanym okresie wynosi\u0142a 0,7\/1 mln mieszka\u0144c\u00f3w, \u015bmiertelno\u015b\u0107\u00a0- 3,6% (5\/140 zachorowa\u0144 o znanym zej\u015bciu). Chorowa\u0142y osoby w wieku 18-74 lata, mediana wieku wynosi\u0142a 38\u00a0lat,\u00a0m\u0119\u017cczy\u017ani stanowili 72% wszystkich chorych. W 89% przypadk\u00f3w do zara\u017cenia dosz\u0142o w krajach Afryki \u2013 w\u015br\u00f3d\u00a0kraj\u00f3w nara\u017cenia najcz\u0119\u015bciej wymieniany by\u0142 Kamerun. Gatunek Plasmodium okre\u015blono w 90% inwazji, w tym P. falciparum\u00a0stanowi\u0142 78%. Wi\u0119kszo\u015b\u0107 chorych zarejestrowanych w Polsce podr\u00f3\u017cowa\u0142a turystycznie (45%, 56\/124) lub\u00a0w zwi\u0105zku z prac\u0105 (43%, 53\/124). Osoby odwiedzaj\u0105ce kraj pochodzenia stanowi\u0142y 10% chorych, dla kt\u00f3rych znany by\u0142\u00a0cel podr\u00f3\u017cowania. \u015aredni czas op\u00f3\u017anienia rozpoznania od pocz\u0105tku objaw\u00f3w wynosi\u0142 6 dni.<br \/><strong>WNIOSKI<\/strong>. W ostatnich latach odnotowano w Polsce wzrost liczby zawlecze\u0144 malarii w por\u00f3wnaniu z poprzednimi\u00a0latami, jednak ca\u0142kowita liczba zachorowa\u0144 pozostaje niska. Po kilkuletnim okresie niskiej \u015bmiertelno\u015bci ponownie odnotowano\u00a0wzrost liczby przypadk\u00f3w \u015bmiertelnych oraz zwi\u0119kszenie odsetka zachorowa\u0144 z op\u00f3\u017anionym rozpoznaniem\u00a0(>3 dni od wyst\u0105pienia objaw\u00f3w) oraz o ci\u0119\u017ckim przebiegu. Uzyskane dane wskazuj\u0105 na konieczno\u015b\u0107 wzmocnienia\u00a0dzia\u0142a\u0144 podnosz\u0105cych \u015bwiadomo\u015b\u0107 os\u00f3b podr\u00f3\u017cuj\u0105cych w zakresie dost\u0119pnej profilaktyki oraz przypominania lekarzom\u00a0POZ o rozszerzonym wywiadzie obejmuj\u0105cym podr\u00f3\u017ce i uwzgl\u0119dnianiu malarii w diagnostyce stan\u00f3w gor\u0105czkowych.<\/p><\/jats:p>","DOI":"10.32394\/pe.73.19","type":"journal-article","created":{"date-parts":[[2019,8,2]],"date-time":"2019-08-02T14:25:24Z","timestamp":1564755924000},"page":"201-209","source":"Crossref","is-referenced-by-count":4,"title":["Malaria in Poland in 2014-2018"],"prefix":"10.32394","volume":"73","author":[{"given":"M","family":"St\u0119pie\u0144","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"17323","published-online":{"date-parts":[[2019,7,25]]},"container-title":["Przeglad Epidemiologiczny"],"original-title":["Malaria w Polsce w latach 2014-2018"],"link":[{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-180877-101434","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-180877-101434","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T08:46:39Z","timestamp":1709887599000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/Malaria-in-Poland-in-2014-2018,180877,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,25]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019]]}},"alternative-id":["180877"],"URL":"https:\/\/doi.org\/10.32394\/pe.73.19","relation":{},"ISSN":["0033-2100","2545-1898"],"issn-type":[{"value":"0033-2100","type":"print"},{"value":"2545-1898","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,25]]}}}