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Analysis of 31 Consecutive Cases of Ovarian Carcinoma in Nigeria

DISCUSSION This study does not include those aid workers who had repatriated before this study and the results may, therefore, not be representative of the true malaria experience. The general trend in the incidence shows a 4-fold increase since 1987-8. This increase is mirrored in the pattern of malaria transmission for all the Solomon Islands. The incidence rate among children under 5, 75 cases per 100 person years, is worrying. Ninety-two per cent of individuals take some form of prophylaxis. However, only 49070 are taking the recommended regimen and breakthrough infections are common. There is a general misconception about the value of prophylaxis among the general expatriate population. Firstly, the majority of expatriates stated that they were confused about the correct regimen because they had received conflicting advice from different sources. It does not help when the most recent authoritative advice from the WH04, the Centre for Disease Control, Atlanta' and a British expert group of the Malaria Reference Laboratoryall differ on their guidelines for the