General practice pharmacist scheme evaluation indicates ‘improved capacity’ as the main benefit

General practice pharmacist scheme evaluation indicates ‘improved capacity’ as the main benefit

July 31 2018 General practices employing pharmacists are citing improved capacity to see patients...

Asthma deaths levels increase by a quarter in a decade

Asthma deaths levels increase by a quarter in a decade

July 26 2018 There were 1,320 deaths due to asthma in England and Wales in 2017, the highest...

NPA and Age UK ask for help on building polypharmacy dossier

NPA and Age UK ask for help on building polypharmacy dossier

July 25 2018 The National Pharmacy Association is asking its members for case studies on...

Pharmacy bodies welcome Health Secretary’s pledge to invest in community pharmacy

Pharmacy bodies welcome Health Secretary’s pledge to invest in community pharmacy

July 24 2018 New Health Secretary Matt Hancock has called for investment in primary care and...

NHS Digital seeks views on SCR with Additional Information

NHS Digital seeks views on SCR with Additional Information

July 24 2018 A survey to assess the benefits and/or disadvantages of health professionals...

  • General practice pharmacist scheme evaluation indicates ‘improved capacity’ as the main benefit

    General practice pharmacist scheme evaluation indicates ‘improved capacity’ as the main benefit

    Tuesday, 31 July 2018 15:31
  • Asthma deaths levels increase by a quarter in a decade

    Asthma deaths levels increase by a quarter in a decade

    Thursday, 26 July 2018 15:08
  • NPA and Age UK ask for help on building polypharmacy dossier

    NPA and Age UK ask for help on building polypharmacy dossier

    Wednesday, 25 July 2018 13:46
  • Pharmacy bodies welcome Health Secretary’s pledge to invest in community pharmacy

    Pharmacy bodies welcome Health Secretary’s pledge to invest in community pharmacy

    Tuesday, 24 July 2018 12:53
  • NHS Digital seeks views on SCR with Additional Information

    NHS Digital seeks views on SCR with Additional Information

    Tuesday, 24 July 2018 12:41

Umesh Modi is a chartered accountant, and Pamini Jatheeskumar is a chartered certified accountant at Silver Levene...
  Don Lavoie is alcohol programme manager at Public Health England and Gul Root is lead...
Don Lavoie is alcohol programme manager at Public Health England and Gul Root is lead pharmacist, Health and Wellbeing Directorate, Public Health England
More inWhite Papers  

malaria mosJune 17 2015

Cases of malaria brought into the UK increased to 1,586 cases in 2014, up 5.7% on the 1,501 cases seen in 2013. The majority of cases (74%) continue to be caused by Plasmodium falciparum, the potentially fatal parasite.

There were three fatalities from malaria in the UK in 2014, all due to falciparum malaria acquired in Nigeria. Fatalities were down from seven in 2013. The annual average over the past decade has been six, said Public Health England.

PHE says its annual report on malaria in the UK for 2014 shows that “malaria remains an important issue for UK travellers, particularly for those of African or Asian ethnicity who are non-UK born and going to visit friends and family in their country of origin.

Four fifths of the cases reported in the UK were UK residents who had travelled abroad. The main categories of people returning with malaria were travelling for holiday, business/professional reasons, being civilian/air crew or in the armed forces, or visiting friends and relatives. The remaining cases were new entrants to the UK, including returning UK expats and foreign students. Foreign visitors to the UK accounted for 8% of cases

PHE says failure to take chemoprophylaxis is associated with the majority of cases. “Those providing advice should engage with these population groups wherever possible, including using potential opportunities to talk about future travel plans outside a specific travel health consultation, such as during new patient checks or childhood immunisation appointments.”

It advises the public that the best way to prevent malaria is to follow the ABCD of malaria prevention:

  • be Aware
  • use Bite avoidance measures
  • take Chemoprophylaxis (preventive antimalarial tablets)
  • seek prompt Diagnosis if you develop a fever during or after travel.

Dr Hilary Kirkbride, head of the PHE’s Travel and Migrant Health Section, said: “Malaria is an almost completely preventable but potentially fatal disease and it remains an important issue for UK travellers.

“In the UK, malaria predominantly affects the non UK born population and their families, particularly those from Africa and south Asia who are travelling to visit friends and relatives (VFRs) in their country of origin.

“This group are more likely to acquire malaria for a number of reasons, including not seeking or being unable to access appropriate medical advice before travel, or not perceiving themselves to be at risk because the destination is familiar to them.”

Dr Dipti Patel, Joint Director of the National Travel Health Network and Centre (NaTHNaC), added; “We strongly urge travellers going to countries where malaria is present to seek advice from their general practice, a specialist travel clinic or pharmacy about malaria prevention ideally four to six weeks before travel, but even if travelling at short notice it is not too late to get protected.”

The highest numbers of cases were seen in the London area, accounting for 779 of the 1,586 cases in 2014. Next highest areas were West Midlands with 115 cases (up 26% on 2013), Yorkshire and Humber (97, up 10%), Greater Manchester (75, up 7%), Sussex, Surrey and Kent (73, up 20%) and Anglia and Essex (68, up 24%). Cheshire and Merseyside saw the highest increase, up 113% from 15 cases to 32 cases.

There were two cases in Northern Ireland (down from eight), 76 cases in Scotland (up 29%) and 33 cases in Wales (up 50%).

Information on insect bite avoidance and malaria prevention for specific countries is available on the NaTHNaC website. PHE is also advising travellers who have any symptoms (usually flu-like or a fever), either while away or for up to a year after returning to the UK to seek urgent medical help.

Links:

PHE summary of annual malaria report    

PHE report: ‘Malaria imported into the United Kingdom: 2014 Implications for those advising travellers’    

PHE malaria health advice for travellers     

NaTHNaC - insect bit advice    

NaTHNaC - country information    

Practice News

July 31 2018 General practices employing pharmacists are citing improved capacity to see patients and workload changes as the main benefits of the scheme.
July 25 2018 Switching to sulfonylureas in type 2 diabetes has been linked with an increased risk of complications compared with staying on metformin, a BMJ study has concluded. However, the study has...