Malaria-attributed death rates in India.

摘要

Neeraj Dhingra and colleagues report higher estimates of annual malaria deaths in India than previously suggested. South Asia abounds in life-threatening undifferentiated febrile illnesses like malaria. Typhoid, typhus (rickettsial illness), leptospirosis, and dengue are some of the common diseases that mimic malaria. The transmission rate of typhoid fever, for example, is 1600 per 100000 population in some parts, and conservative annual estimates of typhoid deaths worldwide are about 200 000. Blood cultures, when available, are only positive in about 50% of cases, and typhoid, like malaria, remains a largely undiagnosed disease in the community.