Case Report and Epidemiological Investigation of Healthcare-associated Plasmodium falciparum Malaria Transmission in Westchester County, New York—2023 - Summary - MDSpire

Case Report and Epidemiological Investigation of Healthcare-associated Plasmodium falciparum Malaria Transmission in Westchester County, New York—2023

  • By

  • Jennifer L White

  • Karen Southwick

  • Susan Madison-Antenucci

  • Nicholas P Piedmonte

  • Sujoy Gayen

  • Brooke Clemons

  • Monica Quinn

  • Kelly Barrett

  • P Bryon Backenson

  • Mike Antwi

  • Sally Slavinski

  • Ellen Lee

  • Ada Huang

  • Kevin Smith

  • Elissa Guzzardi

  • Jennifer C Hunter

  • Kimberly L McKinney

  • Kimberly E Mace

  • Alison D Ridpath

  • Seymour Williams

  • Joel L N Barratt

  • David Jacobson

  • Edwin Pierre-Louis

  • Marko Bajic

  • Julia Kelley

  • Peter D McElroy

  • Brian H Raphael

  • Alan Bulbin

  • December 10, 2025

  • 0 min

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Objective:

To urgently identify the source of a locally acquired Plasmodium falciparum malaria infection and assess the risk of ongoing transmission in Westchester County, New York.

Key Findings:
  • The patient had no recent travel history to malaria-endemic areas, indicating a local source.
  • Blood-borne transmission in a healthcare setting was implicated as the likely source of infection, highlighting potential lapses in infection control.
  • No mosquito-transmitted malaria cases were identified in New York, reinforcing the need for vigilance.
Interpretation:

The investigation suggests that healthcare-associated transmission of malaria can occur, emphasizing the need for stringent infection control measures in healthcare settings and proactive monitoring.

Limitations:
  • The exact mechanism of blood-borne transmission remains unknown, which complicates prevention efforts.
  • No additional cases were identified, limiting the understanding of potential transmission dynamics and public health response.
Conclusion:

Prompt investigation of locally acquired malaria cases is crucial for identifying sources and preventing further infections, underscoring the importance of ongoing surveillance and public health readiness.

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