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Post-Disaster Malaria in Costa Rica

Published online by Cambridge University Press:  28 June 2012

Rocio Sáenz ,
Richard A. Bissell  and
Francisco Paniagua
Rocio Sáenz
Affiliation:
Ministry of Health, Costa Rica, and Disaster Resuscitology Fellow, International Resuscitation Research Center, University of Pittsburgh, Pittsburgh, Pennsylvania
Richard A. Bissell*
Affiliation:
National Study Center for Trauma and EMS, University of Maryland at Baltimore, and Department of Emergency Health Services, University of Maryland at Baltimore County, Baltimore, Maryland
Francisco Paniagua
Affiliation:
Pan American Health Organization, Tegucigalpa, Honduras
*
National Study Center for Trauma and EMS, 701 W. Pratt St. #001, Baltimore, MD 21201USA
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Abstract

Introduction:

In recent years, controversy has surrounded the issue of whether infectious disease should be considered a serious potential consequence of natural disasters. This article contributes to this debate with evidence of a significant outbreak of malaria in Costa Rica's Atlantic region after the 1991 earthquake and subsequent floods.

Methods:

This study is an epidemiologic investigation of the incidence of malaria for the periods of 22 months before the April 1991 Limon earthquake and for 13 months afterward. Data were obtained from the Costa Rican Ministry of Health's malaria control program.

Results:

Some of the cantons in the region experienced increases in the incidence of malaria as high as 1,600% and 4,700% above the average monthly rate for the pre-earthquake period (p ≤0.01). Causal mechanisms are postulated as relating to changes in human behavior (increased exposure to mosquitoes while sleeping outside, and a temporary pause in malaria control activities), changes in the habitat that were beneficial to mosquito breeding (landslide deforestation, river damming, and rerouting), and the floods of August 1991.

Conclusions:

It is recommended that there be enhanced awareness of the potential consequences of disaster-wrought environmental changes.

Date of Event: 22 April 1991; Type: Earthquake, 7.4 Richter scale; Location: Costa Rica; Number of deaths and casualties: 54 deaths and 505 moderate to severe injuries.

Keywords

disasterearthquakeinfectious diseasemalariapublic health
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 10 , Issue 3: CJ Shanaberger Memorial Issue , September 1995 , pp. 154 - 160
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1995

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References

1. Western, KA: The epidemiology of natural and man-made disasters: The present state of the art. [Dissertation] London School of Hygiene and Tropical Medicine, June 1972.Google Scholar
2. de Ville de Goyet, C: Las enfermedades transmisibles y la vigilencia epidemiológica en situaciones de desastres naturales. Prepared for Seminario Sobre la Medicina en Desastres, Guyaquil, Ecuador, 1979.Google Scholar
3. Seaman, J: Epidemiology of natural disasters. Basil, Switzerland: Karger AG, 1984.Google Scholar
4. Bissell, RA: Delayed-impact infectious disease after a natural disaster. J Emerg Med 1983;1:59–66.Google Scholar
5. Aghababian, RV, Teuscher, J: Infectious diseases following major disasters. Ann Emerg Med 1992;21:362–367.Google Scholar
6. Lechat, MF: Disasters and public health. Bull World Health Organ 1979;57:11–17.Google ScholarPubMed
7. Logue, J, Melick, M, Hansen, H: Research issues and directions in the epidemiology of health effects of disasters. Epidemiol Rev 1981;3:140–162.Google Scholar
8. Shears, P: Special article: Epidemiology and infection in famine and disasters. Epidemiol Infect 1991:107:241–251.Google Scholar
9. de Ville de Goyet, C: The health impact of earthquakes. Biomedical research in Latin America: Background studies. National Institutes of Health Publication no. 80–2051, April 1980. Bethesda, Md.: 1981.Google Scholar
10. Seaman, J, Leivesley, S, Hogg, C: Epidemiológia de desastres naturales. Mexico: Harla SA, 1989.Google Scholar
11. Basch, PF (ed): International Health. New York: Oxford University Press, 1990.Google Scholar
12. Organización panamericana de la salúd: Situatión de los programas de malaria en las Américas. Washington D.C.: XLI Informe, 1993. CD37/INF/2(ESP).Google Scholar
13. Beinin, L (ed): Medical consequences of disasters. New York: Springer Verlag, 1985.Google Scholar
14. Mason, J, Cavalie, P: Malaria epidemic in Haiti following a hurricane. Am J Trap Med Hyg 1965:14:533–539.Google Scholar
15. Anonymous: The risk of disease outbreaks after natural disasters. World Health Organ Chronicle 1979;33:214–216.Google Scholar
16. Comisión Nacional de Emergencia, San Jose, Costa Rica, 1993.Google Scholar
17. Pretto, E, Angus, D, Abrams, J, et al. : Prehospital deaths in an earthquake. Prehospital and Disaster Medicine 1994;9:107–117.CrossRefGoogle Scholar
18. Bissell, RA, Pretto, E, Angus, D, et al. : Post-preparedness medical disaster response in Costa Rica. Prehospital and Disaster Medicine 1994;9:96–106.CrossRefGoogle ScholarPubMed
19. Comisión Nacional de Emergencia, San Jose, Costa Rica, 1991.Google Scholar
20. Benenson, A: Control of communicable diseases in man. Washington, D.C.: The American Public Health Association, 1985.Google Scholar
21. Frederickson, CE: Bionomia y control de anopheles albimanus. Washington, D.C., Pan American Health Organization, 1993.Google Scholar
22. Detinova, TS, Gillies, MT: Observations on the determination of the age composition and epidemiological importance of populations of anopheles gambie giles and anopheles funestus giles in Tanganyka. Bull World Health Organ 1964:30:23–28.Google Scholar
23. Instituto Nacional de la Vivienda, San Jose, Costa Rica, 1991.Google Scholar
24. Pan American Health Organization: Biología y ecología de anopheles albimanus wiedmann en América central y Panamá, 1992.Google Scholar