Performance of passive case detection for malaria surveillance: results from nine countries in Mesoamerica and the Dominican Republic

Table 1 Suspected case definitions on country malaria norms and guidelines valid in 2018

Country	Patient with intermittent fever, chills, sweating	Current fever or recent fever (only)	Current or recent fever & Living in an endemic area	Current or recent fever & Travel to endemic area	Other symptoms	Other epidemiological factors
Belize	No	Yes, no time period	No	Yes, no period	Haemorrhagic manifestation, headache, vomiting, retro-orbital pain, arthralgia, myalgia, nausea	Contact with malaria case History of medication with antimalarials
Colombia	Yes	Yes, last two weeks	Yes, last 15 days	Yes, last 15 days	Headache, gastrointestinal symptoms, myalgia, arthralgia, nausea, vomit, anaemia, splenomegaly	History of blood transfusions or transplants in last 30 days Contact with malaria case History of malaria History of medication with antimalarials
Costa Rica	Yes	No	Yes, last 40 days	Yes, last 40 days	Headache, muscle pain	No
Dominican Republic	Yes	Yes, last two weeks	Yes, last 30 days	Yes, last 30 days	Headache, photophobia, muscle pain, lack of appetite, nausea, vomit	History of blood transfusions or transplants in last 30 days Neonate from mother with malaria History of accidental contact with blood with malaria History of malaria
El Salvador	No	Yes, last two weeks or more than 30 days	Yes, no period	Yes, no period	No	No
Guatemala	Yes	No	Yes, last 30 days	Yes, last 7 days	Headache, general malaise	History of malaria
Honduras	Yes	No	Yes, no period	Yes, no period	Headache	No
Nicaragua	Yes	No	No	No	No	No
Panama	Fever and chills only	No	No	No	Headache, weakness, fatigue, abdominal discomfort, myalgia, arthralgia	No

ISSN: 1475-2875