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Mass radical treatment of a group of foreign workers to mitigate the risk of re-establishment of malaria in Sri Lanka

Sri Lanka was free from indigenous transmission for six consecutive years, until the first introduced malaria case was reported in December 2018. The source of transmission (index case) was a member of a group of 32 migrant workers from India. Despite extensive vector control measures there was a high risk of further onward transmission if the migrants carried sub-patent or latent malaria infections. Therefore, Mass Radical Treatment (MRT) of the group of workers was undertaken for Plasmodium vivax malaria. Mass treatment may be an option in prevention of re-establishment settings for groups of migrants originating from malaria endemic countries and resident in areas of high receptivity in the hosting country.

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