Malaria Survey in Post-Earthquake Haiti—2010

David Townes Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; National Public Health Laboratory, Ministry of Health and Population, Port-au-Prince, Haiti; Department of Epidemiology and Laboratory Research, Ministry of Health and Population, Port-au-Prince, Haiti; National Malaria Control Program, Ministry of Health and Population, Port-au-Prince, Haiti; Save the Children, Jacmel, Haiti; Save the Children, Léogâne, Haiti; The MENTOR Initiative, La Prade, France; United States Public Health Service

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Alexandre Existe Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; National Public Health Laboratory, Ministry of Health and Population, Port-au-Prince, Haiti; Department of Epidemiology and Laboratory Research, Ministry of Health and Population, Port-au-Prince, Haiti; National Malaria Control Program, Ministry of Health and Population, Port-au-Prince, Haiti; Save the Children, Jacmel, Haiti; Save the Children, Léogâne, Haiti; The MENTOR Initiative, La Prade, France; United States Public Health Service

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Jacques Boncy Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; National Public Health Laboratory, Ministry of Health and Population, Port-au-Prince, Haiti; Department of Epidemiology and Laboratory Research, Ministry of Health and Population, Port-au-Prince, Haiti; National Malaria Control Program, Ministry of Health and Population, Port-au-Prince, Haiti; Save the Children, Jacmel, Haiti; Save the Children, Léogâne, Haiti; The MENTOR Initiative, La Prade, France; United States Public Health Service

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Roc Magloire Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; National Public Health Laboratory, Ministry of Health and Population, Port-au-Prince, Haiti; Department of Epidemiology and Laboratory Research, Ministry of Health and Population, Port-au-Prince, Haiti; National Malaria Control Program, Ministry of Health and Population, Port-au-Prince, Haiti; Save the Children, Jacmel, Haiti; Save the Children, Léogâne, Haiti; The MENTOR Initiative, La Prade, France; United States Public Health Service

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Jean-Francois Vely Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; National Public Health Laboratory, Ministry of Health and Population, Port-au-Prince, Haiti; Department of Epidemiology and Laboratory Research, Ministry of Health and Population, Port-au-Prince, Haiti; National Malaria Control Program, Ministry of Health and Population, Port-au-Prince, Haiti; Save the Children, Jacmel, Haiti; Save the Children, Léogâne, Haiti; The MENTOR Initiative, La Prade, France; United States Public Health Service

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Ribka Amsalu Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; National Public Health Laboratory, Ministry of Health and Population, Port-au-Prince, Haiti; Department of Epidemiology and Laboratory Research, Ministry of Health and Population, Port-au-Prince, Haiti; National Malaria Control Program, Ministry of Health and Population, Port-au-Prince, Haiti; Save the Children, Jacmel, Haiti; Save the Children, Léogâne, Haiti; The MENTOR Initiative, La Prade, France; United States Public Health Service

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Marleen De Tavernier Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; National Public Health Laboratory, Ministry of Health and Population, Port-au-Prince, Haiti; Department of Epidemiology and Laboratory Research, Ministry of Health and Population, Port-au-Prince, Haiti; National Malaria Control Program, Ministry of Health and Population, Port-au-Prince, Haiti; Save the Children, Jacmel, Haiti; Save the Children, Léogâne, Haiti; The MENTOR Initiative, La Prade, France; United States Public Health Service

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James Muigai Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; National Public Health Laboratory, Ministry of Health and Population, Port-au-Prince, Haiti; Department of Epidemiology and Laboratory Research, Ministry of Health and Population, Port-au-Prince, Haiti; National Malaria Control Program, Ministry of Health and Population, Port-au-Prince, Haiti; Save the Children, Jacmel, Haiti; Save the Children, Léogâne, Haiti; The MENTOR Initiative, La Prade, France; United States Public Health Service

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Sarah Hoibak Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; National Public Health Laboratory, Ministry of Health and Population, Port-au-Prince, Haiti; Department of Epidemiology and Laboratory Research, Ministry of Health and Population, Port-au-Prince, Haiti; National Malaria Control Program, Ministry of Health and Population, Port-au-Prince, Haiti; Save the Children, Jacmel, Haiti; Save the Children, Léogâne, Haiti; The MENTOR Initiative, La Prade, France; United States Public Health Service

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Michael Albert Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; National Public Health Laboratory, Ministry of Health and Population, Port-au-Prince, Haiti; Department of Epidemiology and Laboratory Research, Ministry of Health and Population, Port-au-Prince, Haiti; National Malaria Control Program, Ministry of Health and Population, Port-au-Prince, Haiti; Save the Children, Jacmel, Haiti; Save the Children, Léogâne, Haiti; The MENTOR Initiative, La Prade, France; United States Public Health Service

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Meredith McMorrow Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; National Public Health Laboratory, Ministry of Health and Population, Port-au-Prince, Haiti; Department of Epidemiology and Laboratory Research, Ministry of Health and Population, Port-au-Prince, Haiti; National Malaria Control Program, Ministry of Health and Population, Port-au-Prince, Haiti; Save the Children, Jacmel, Haiti; Save the Children, Léogâne, Haiti; The MENTOR Initiative, La Prade, France; United States Public Health Service

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Laurence Slutsker Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; National Public Health Laboratory, Ministry of Health and Population, Port-au-Prince, Haiti; Department of Epidemiology and Laboratory Research, Ministry of Health and Population, Port-au-Prince, Haiti; National Malaria Control Program, Ministry of Health and Population, Port-au-Prince, Haiti; Save the Children, Jacmel, Haiti; Save the Children, Léogâne, Haiti; The MENTOR Initiative, La Prade, France; United States Public Health Service

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S. Patrick Kachur Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; National Public Health Laboratory, Ministry of Health and Population, Port-au-Prince, Haiti; Department of Epidemiology and Laboratory Research, Ministry of Health and Population, Port-au-Prince, Haiti; National Malaria Control Program, Ministry of Health and Population, Port-au-Prince, Haiti; Save the Children, Jacmel, Haiti; Save the Children, Léogâne, Haiti; The MENTOR Initiative, La Prade, France; United States Public Health Service

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Michelle Chang Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; National Public Health Laboratory, Ministry of Health and Population, Port-au-Prince, Haiti; Department of Epidemiology and Laboratory Research, Ministry of Health and Population, Port-au-Prince, Haiti; National Malaria Control Program, Ministry of Health and Population, Port-au-Prince, Haiti; Save the Children, Jacmel, Haiti; Save the Children, Léogâne, Haiti; The MENTOR Initiative, La Prade, France; United States Public Health Service

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Haiti's Ministry of Public Health and Population collaborated with global partners to enhance malaria surveillance in two disaster-affected areas within 3 months of the January 2010 earthquake. Data were collected between March 4 and April 9, 2010 by mobile medical teams. Malaria rapid diagnostic tests (RDTs) were used for case confirmation. A convenience sample of 1,629 consecutive suspected malaria patients was included. Of these patients, 1,564 (96%) patients had malaria RDTs performed, and 317 (20.3%) patients were positive. Of the 317 case-patients with a positive RDT, 278 (87.7%) received chloroquine, 8 (2.5%) received quinine, and 31 (9.8%) had no antimalarial treatment recorded. Our experience shows that mobile medical teams trained in the use of malaria RDTs had a high rate of testing suspected malaria cases and that the majority of patients with positive RDTs received appropriate antimalarial treatment. Malaria RDTs were useful in the post-disaster setting where logistical and technical constraints limited the use of microscopy.

Author Notes

*Address correspondence to David A. Townes, 1959 NE Pacific St., Box 356123, Seattle, WA 98195. E-mail: townesd@uw.edu
†Deceased.

Authors' addresses: David Townes, Laurence Slutsker, and Michelle Chang, Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, E-mails: townesd@uw.edu, lms5@cdc.gov, and aup6@cdc.gov. Alexandre Existe and Jacques Boncy, National Public Health Laboratory, Ministry of Health and Population, Port-au-Prince, Haiti, E-mails: Alexandre.existe@gmail.com and Jboncy2001@yahoo.fr. Roc Magloire, Department of Epidemiology and Laboratory Research, Ministry of Health and Population, Port-au-Prince, Haiti, E-mail: Corgamsa368@hotmail.com. Jean-Francois Vely, National Malaria Control Program, Ministry of Health and Population, Port-au-Prince, Haiti. Ribka Amsalu, Save the Children, E-mail: ramsalu@savechildren.org. Marleen De Tavernier, Save the Children, Jacmel, Haiti, E-mail: mtavernier@savechildren.org. James Muigai, Save the Children, Léogâne, Haiti, E-mail: jmungai@savechildren.org. Sarah Hoibak and Michael Albert, The MENTOR Initiative, La Prade, France, E-mails: sarahhoibak@hotmail.com and michael.a.albert@gmail.com. Meredith McMorrow and S. Patrick Kachur, Malaria Branch, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, and United States Public Health Service, E-mails: bwe3@cdc.gov and spk0@cdc.gov.

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