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BMJ. 2000 Mar 11;320(7236):669.

Malaria epidemic expected in Mozambique.



Health experts fear epidemics of several infectious diseases in Mozambique as floods recede and mosquitoes begin breeding. According to Pierre Kahozi of WHO, malaria is already endemic in the region but there are fears that a much greater outbreak might occur. Scores of suspected cases of cholera were reported and more are expected, along with cases of other diarrheal conditions. Neil Cameron, chief director of communicable diseases at the health department in South Africa, said that more cases are expected within a month when the breeding cycle of mosquitoes is renewed. He reported that the number of malaria cases in South Africa increased from 12,000 in 1995 to 50,000 in 1999, and a number of people had been dying from this disease. The increase could be attributed partly to climatic changes and resistance to certain drugs. DDT had been used in the past to control mosquitoes, and it¿s possible that it will be used again in Mozambique. The issues involved in tackling malaria are now being considered as part of a special development initiative on infectious diseases that is being undertaken jointly by the health departments of three countries: South Africa, Mozambique, and Swaziland.

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