Please use this identifier to cite or link to this item:
https://www.arca.fiocruz.br/handle/icict/42297
Type
ArticleCopyright
Open access
Sustainable Development Goals
04 Educação de qualidadeCollections
- IOC - Artigos de Periódicos [12776]
Metadata
Show full item record
MALARIA IN GOLD MINERS IN THE GUIANAS AND THE AMAZON: CURRENT KNOWLEDGE AND CHALLENGES
Author
Affilliation
Centre d’Investigation Clinique Antilles-Guyane (Inserm 1424), Cayenne Hospital. Cayenne. French Guiana / Université de Guyane. Epidemiology of Tropical Parasitoses. Cayenne, French Guiana.
Centre d’Investigation Clinique Antilles-Guyane (Inserm 1424), Cayenne Hospital. Cayenne, French Guiana.
Institut Pasteur de la Guyane. Centre National de Référence du Paludisme. Laboratoire de Parasitologie. French Guiane.
Ministry of Health. National Malaria Program. Paramaribo, Suriname.
Ministério da Saúde. Coordenação de Doenças Vector transmissível e Zoonótico. Grupo Técnico da Malária. Brasília DF, Brasil.
Ministério da Saúde. Coordenação de Doenças Vector transmissível e Zoonótico. Grupo Técnico da Malária. Brasília DF, Brasil.
Ministério da Saúde. Coordenação de Doenças Vector transmissível e Zoonótico. Grupo Técnico da Malária. Brasília DF, Brasil.
Ministry of Public Health. National Malaria Program. Georgetown, Guyana.
U.S. Naval Medical Research Unit No.6 (NAMRU-6). Department of Parasitology. Lima, Peru.
U. S. Global Development One. International Development. Silver Spring, MD, USA / Asociacion Civil Impacto Social (ASOCIS), Tumeremo, Bolivar, Venezuela.
French Armed Forces Center for Epidemiology and Public Health (CESPA). Marseille, France.
Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, IHU-Méditerranée Infection; Marseille, France.
Health Regional Agency. Cayenne, French Guiana.
Foundation for Scientific Research Suriname (SWOS). Paramaribo, Suriname.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Doenças Parasitárias. Rio de Janeiro, RJ, Brasil.
Centre d’Investigation Clinique Antilles-Guyane (Inserm 1424), Cayenne Hospital. Cayenne, French Guiana.
Institut Pasteur de la Guyane. Centre National de Référence du Paludisme. Laboratoire de Parasitologie. French Guiane.
Ministry of Health. National Malaria Program. Paramaribo, Suriname.
Ministério da Saúde. Coordenação de Doenças Vector transmissível e Zoonótico. Grupo Técnico da Malária. Brasília DF, Brasil.
Ministério da Saúde. Coordenação de Doenças Vector transmissível e Zoonótico. Grupo Técnico da Malária. Brasília DF, Brasil.
Ministério da Saúde. Coordenação de Doenças Vector transmissível e Zoonótico. Grupo Técnico da Malária. Brasília DF, Brasil.
Ministry of Public Health. National Malaria Program. Georgetown, Guyana.
U.S. Naval Medical Research Unit No.6 (NAMRU-6). Department of Parasitology. Lima, Peru.
U. S. Global Development One. International Development. Silver Spring, MD, USA / Asociacion Civil Impacto Social (ASOCIS), Tumeremo, Bolivar, Venezuela.
French Armed Forces Center for Epidemiology and Public Health (CESPA). Marseille, France.
Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, IHU-Méditerranée Infection; Marseille, France.
Health Regional Agency. Cayenne, French Guiana.
Foundation for Scientific Research Suriname (SWOS). Paramaribo, Suriname.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Doenças Parasitárias. Rio de Janeiro, RJ, Brasil.
Abstract
Purpose of Review Following Paraguay and Argentina, several countries from the Amazon region aim to eliminate malaria. To
achieve this, all key affected and vulnerable populations by malaria, including people working on gold mining sites, must be
considered. What is the situation of malaria in these particular settings and what are the challenges? This literature review aims to
compile knowledge to answer these questions.
Recent Findings The contexts in which gold miners operate are very heterogeneous: size and localization of mines, links with
crime, administrative status of the mines and of the miners, mobility of the workers or national regulations. The number of
malaria cases has been correlated with deforestation (Brazil, Colombia), gold production (Colombia), gold prices (Guyana), or
location of the mining region (Peru, Colombia, Venezuela, Guyana). The burden of malaria in gold mines differs between
territories: significant in Guyana, French Guiana, or Venezuela; lower in Brazil. Although Plasmodium vivax causes 75% of
malaria cases in the Americas, P. falciparum is predominant in several gold mining regions, especially in the Guiana Shield.
Because of the remoteness from health facilities, self-medication with under-the-counter antimalarials is frequent. This constitutes a significant risk for the emergence of new P. falciparum parasites resistant to antimalarial drugs.
Summary Because of the workers’ mobility, addressing malaria transmission in gold mines is essential, not only for miners, but
also to prevent the (re-)emergence of malaria. Strategies among these populations should be tailored to the context because of the
heterogeneity of situations in different territories. The transnational environment favoring malaria transmission also requires
transborder and regional cooperation, where innovative solutions should be considered and evaluated.
Share