On the other hand, the region outside the Amazon shall notify each year XX cases of the disease, contributing only with XX% of cases in the country, most is due to malaria imported (Ref). Rio de Janeiro, one of the states of the region, was considered as a highly endemic until the mid 20th century, with the presence of an. Darlingi, the main transmitter of disease in Brazil (Ref). In 1968, the transmission was considered to be interrupted and currently, are rarely found anofelinos this species (Ref). In recent years, a new epidemiology of malaria is emerging in the state: the presence of imported cases from endemic areas in Brazil and abroad (Miguel Otilia put numbers) as well as the notification of native cases including occasional outbreaks of the disease (Ref). The new epidemiology of malaria in areas of transmission interrupted needs to be determined, especially at times when the planet is committed to the elimination of the disease. (Pina Costa et al who 2014, 2015). It is also unknown, the prevalence of subclinical infection (Maselli et al 2014). In a time of elimination of malaria is essential to maintain vigilance to prevent the reintroduction of the disease from imported cases in the areas of greater receptivity. It is also a need to clarify the mechanisms of autochthonous transmission of malaria.
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