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Rebecca Voelker
JAMA contributor

JAMA. 1998;280:1216.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A dramatic increase in Plasmodium falciparum malaria, a particularly severe form of the disease, has been identified in northern Honduras.

In the September issue of the Pan American Journal of Public Health, researchers from Jamaica and the United States reported a recent outbreak of malaria in the rural Colón region. Of the 202 blood samples they collected from that region and from the city of San Pedro Sula, 47% were positive for P falciparum parasites. All positive samples from the city were infected with Plasmodium vivax, which causes a milder form of illness.

In the rural region, however, 21% were infected with the virulentPfalciparum . Two years ago, P falciparum accounted for just 3.5% of malarial infections there. The researchers said a long rainy season could have resulted in increased transmission by mosquitoes. They also suggested that underdiagnosis, an increase in the susceptible population, . . . [Full Text of this Article]

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