3 people have acquired malaria in the US

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Vox senior journalist Keren Landman covers public health, infectious diseases, health workers, and health justice.

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Epidemiologist Keren. Late May malaria attacked Sarasota County. Second mid-June. Cameron County, Texas reported malaria June 23.

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It's rare. Malaria-free US. Worldwide travel caused all 2,000 US malaria cases. Florida and Texas defendants didn't travel. Both states had domestic infections.

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Three cases should not worry US malaria transmission experts. Local broadcasts. Pre-outbreak mosquitoes infect many. 

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Even if this isn't widespread, it's a reminder that malaria could return to the US, and our public health infrastructure should be ready. 

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Climate change increases mosquito-borne malaria. Malaria kills RBCs. Anemia hurts. Texas' P.vivax.

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During 1985–2011, P. falciparum killed 10 times more Americans than vivax. Hard Vivax. 

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This infection causes life-threatening brain enlargement, lung congestion, and renal failure. 

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Flu-like symptoms, intermittent fever. Vivax malaria is sneakier. Parasites hide. East Africa, South Asia, and northern South America have the most vivax malaria. 

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1950s DDT spraying eliminated malaria. Many US Anopheles mosquitoes spread all malaria types.

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Preventing malaria: Air conditioning and window screens lessen midnight mosquito bites in America. US malaria is rare. Good conditions can spread US malaria.

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