To prevent the introduction of infectious diseases from abroad into the United Kingdom, the Public Health (Aircraft) Regulations 1938 was issued by the Ministry of Health. Its actions included the "disinsection of aircraft in the tropics and subtropics to prevent yellow fever and malaria-infected mosquitoes from being introduced into the country".In 1928, the first report of insects on aircraft came from the quarantine inspector of the dirigible Graf Zeppelin on its arrival in the United States. Airport malaria was later first documented in 1969. Until 1970, malaria was endemic in Europe. Research directions
Epidemiological and entomological surveillance and research on the interconnection between malaria transmission and population movement requires attention, as to is improvement in living facilities to prevent forced movement of people, awareness of the connection between mosquitoes and malaria, in addition to adequate healthcare and the control of urbanization.Airport malaria poses a potential risk to the local spread of malaria. The UK is home to five species of anopheline mosquitoes, of which only Anopheles atroparvus breeds close enough in proximity to humans and in enough numbers to act as an efficient vector for malaria. A serious public health problem would arise if the introduction of infected mosquitoes led to the transmission of malaria by local mosquitoes, particularly if transmission were revived in an area where the disease had previously been endemic and then eradicated. == References ==
Pruritic urticarial papules and plaques of pregnancy (PUPPP), known in United Kingdom as polymorphic eruption of pregnancy (PEP), is a chronic hives-like rash that strikes some women during pregnancy. Some skin changes are known to occur in people who are pregnant while other skin conditions, or dermatoses, that people have prior to getting pregnant will become altered or symptoms will increase. Pruritic urticarial papules and plaques of pregnancy (PUPPP) is one of many skin conditions that is specific to pregnancy and occurs in about 1 in every 160 (0.625%) of pregnancies.It presents no long-term risk for either the woman or fetus as there is no statistical increase of risk of premature labor or fetal loss, despite frequently severe pruritus.PUPPP usually first appears on the abdomen and often spreads to the legs, feet, arms, chest, and neck. The face is usually not affected. Skin distension (stretching) is thought to be a possible trigger for PUPPP as it most commonly affects primigravida (women in their first pregnancy), those with large fundal measurements (distance from the pubic bone to the top of the uterus) and/or those who are carrying large babies or multiples. The papules and plaques often first appear within stretch marks before changing appearance and spreading to other areas of the body. It is important that those who are pregnant heavily consider the recommendations of their full healthcare team.