Malakit: an innovative pilot project to self-diagnose and self-treat malaria among illegal gold miners in the Guiana Shield

Centre d’Investigation Clinique Antilles-Guyane (Inserm 1424). Cayenne Hospital, Cayenne, French Guiana.
Health Regional Agency, Cayenne. French Guiana, France.
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. Cayenne, French Guiana.
French Armed Forces Center for Epidemiology and Public Health (CESPA). Camp Militaire de Sainte Marthe. Marseille, France / IRD, AP‑HM, VITROME, SSA, IHU‑Méditerranée Infection, Aix Marseille Univ. Marseille, France.
Ministério da Saúde. Programa Nacional de Controle da Malária. Brasilia, DF, Brasil.
Ministério da Saúde. Escritório de Assuntos Internacionais. Brasília, DF, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Parasitologia. Rio de Janeiro, RJ. Brasil.
National Malaria Programme. Ministry of Health. Paramaribo, Suriname.
Centre d’Investigation Clinique Antilles-Guyane (Inserm 1424). Cayenne Hospital, Cayenne, French Guiana / Université de Guyane. Epidemiology of Tropical Parasitoses. Cayenne, French Guiana.
Foundation for Scientific Research Suriname (SWOS). Paramaribo, Suriname.
Pan American Health Organization. Barbados Office, Bridgetown, Barbados.

Abstract

Illegal gold miners in French Guiana, a French overseas territory ('département') located in Amazonia, often carry malaria parasites (up to 46.8%). While the Guiana Shield Region aims at malaria elimination, the high prevalence of Plasmodium in this hard-to-reach population in conjunction with frequent incorrect use of artemisinin-based anti-malarials could favour the emergence of resistant parasites. Due to geographical and regulatory issues in French Guiana, usual malaria control strategies cannot be implemented in this particular context. Therefore, new strategies targeting this specific population in the forest are required.

Keywords in Portuguese

Malária
Estratégias de controle
População Móvel
Mineração de ouro
Transfronteiriço

Keywords

Malaria
Control strategies
Gold mining
Mobile population
Cross-border

Publisher

BMC

Citation

DOUINE, Maylis et al. Malakit: an innovative pilot project to self‑diagnose and self‑treat malaria among illegal gold miners in the Guiana Shield. Malaria Journal, v. 17, n. 158, p. 1-8, 2018.

DOI

10.1186/s12936-018-2306-5

ISSN

1475-2875

Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/31637

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Open access

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