Lack of Decline in Childhood Malaria, Malawi, 2001-2010
Lack of Decline in Childhood Malaria, Malawi, 2001-2010
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DOI：
10.3201/eid1802.111008
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发表时间：
2012-02-01
影响因子：
11.8
通讯作者：
Heyderman, Robert S.
中科院分区：
文献类型：
--
作者：
Roca-Feltrer, Arantxa;Kwizombe, Collins J.;Heyderman, Robert S.
在非洲的一些地区，卫生机构的数据表明，疟疾的下降可能是由于日益有效的控制规划。大多数此类报告来自疟疾传播高度季节性或强度适中的国家。在马拉维，疟疾常年传播很严重，在过去十年中扩大了疟疾控制措施。我们检查了一家大型国立医院门诊儿童和因脑疟疾住院的寄生虫阳性儿童的卫生设施数据。该医院发热儿童中恶性疟原虫阳性玻片的比例在本十年初期有所下降，但2005年以后没有进一步下降。脑型疟疾入院人数在各年之间没有显著差异。需要继续监测疟疾，以评估加强疟疾控制工作的效果。
In some areas of Africa, health facility data have indicated declines in malaria that might have resulted from increasingly effective control programs. Most such reports have been from countries where malaria transmission is highly seasonal or of modest intensity. In Malawi, perennial malaria transmission is intense, and malaria control measures have been scaled up during the past decade. We examined health facility data for children seen as outpatients and parasitemia-positive children hospitalized with cerebral malaria in a large national hospital. The proportion of Plasmodium falciparum positive slides among febrile children at the hospital declined early in the decade, but no further reductions were observed after 2005. The number of admissions for cerebral malaria did not differ significantly by year. Continued surveillance for malaria is needed to evaluate the effects of the increased malaria control efforts.