[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
May 15, 1996

Malaria: Submerged Awareness-Reply

Author Affiliations

UNDP/World Bank/World Health Organization Geneva, Switzerland
Harvard School of Public Health Boston, Mass

JAMA. 1996;275(19):1482. doi:10.1001/jama.1996.03530430026033

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


In Reply.  —Dr Hartwig's letter emphasizes some important points raised by our article. Indeed, we agree with Hartwig that malaria continues to be a major health threat throughout much of the tropical world. The title referred to the limited and diminishing awareness of this health threat in the United States and elsewhere in the industrialized world. The goal of the article was to alert readers to this problem.The looming crisis of parasite drug resistance presents an immediate threat to everyone who experiences acute episodes of malaria, including immune adults. It is especially threatening to all nonimmune persons, including children less than 5 years of age, pregnant women, both from endemic and nonendemic areas, refugees, migrant workers, and travelers. Antimalaria drug therapy remains the primary intervention for malaria infection worldwide, and drug resistance will compromise this intervention. Malaria is not the only infectious disease for which drug resistance is emerging