Malaria in Gold Miners in the Guianas and the Amazon: Current Knowledge and Challenges

• DOI: 10.1007/s40475-020-00202-5
• Publication Date: 2020-03-21T08:02:55Z
• Authors: Maylis Douine; Yann Lambert; Lise Musset; Helene Hiwat; Liana Reis Blume; Paola Marchesini; Gilberto Gilmar M...; Horace Cox; Juan F. Sanchez; Leopoldo Villegas; Vincent Pommier d...; Alice Sanna; Stephen Vreden; Martha Suarez-Mutis
• Keywords: Deforestation

Abstract Purpose of Review Following Paraguay and Argentina, several countries from the Amazon region aim to eliminate malaria. To achieve this, all key affected vulnerable populations by malaria, including people working on gold mining sites, must be considered. What is situation malaria in these particular settings what are challenges? This literature review aims compile knowledge answer questions. Recent Findings The contexts which miners operate very heterogeneous: size localization mines, links with crime, administrative status mines miners, mobility workers or national regulations. number cases has been correlated deforestation (Brazil, Colombia), production (Colombia), prices (Guyana), location (Peru, Colombia, Venezuela, Guyana). burden differs between territories: significant Guyana, French Guiana, Venezuela; lower Brazil. Although P lasmodium vivax causes 75% Americas, P. falciparum predominant regions, especially Guiana Shield. Because remoteness health facilities, self-medication under-the-counter antimalarials frequent. constitutes a risk for emergence new parasites resistant antimalarial drugs. Summary workers’ mobility, addressing transmission essential, not only but also prevent (re-)emergence Strategies among should tailored context because heterogeneity situations different territories. transnational environment favoring requires transborder regional cooperation, where innovative solutions considered evaluated.