Ten year trend analysis of malaria prevalence in Kola Diba, North Gondar, Northwest Ethiopia
Ten year trend analysis of malaria prevalence in Kola Diba, North Gondar, Northwest Ethiopia
复制标题
DOI：
10.1186/1756-3305-5-173
复制
发表时间：
2012-08-14
影响因子：
3.2
通讯作者：
Gebeyaw, Melkamu
中科院分区：
文献类型：
--
作者：
Alemu, Abebe;Muluye, Dagnachew;Gebeyaw, Melkamu
背景：疟疾是由疟原虫属的原生动物寄生虫引起的。它是世界上疾病和死亡的主要原因之一。这是埃塞俄比亚的一个重大公共卫生问题。在过去的几年中，这种疾病一直被报道为第一个主要原因的门诊就诊，住院治疗和死亡的卫生设施在全国各地的nations.Methods：进行了回顾性研究，以确定从外周血涂片检查从科拉迪巴卫生中心的埃塞俄比亚疟疾的患病率。对2002-2011年期间报告的所有疟疾病例的病例记录进行了认真审查和分析。此外，使用研究地区精心准备的清单收集了为控制疟疾而采取的任何疟疾干预活动。结果：在过去十年内（2002-2011年）科拉迪巴卫生中心共要求59，208张血片用于疟疾诊断，全市共报告疟疾病例473例，占39.6%，呈波动趋势。关于已确定的疟原虫种类，恶性疟原虫和间日疟原虫分别占疟疾发病率的75%和25%。据报告，所有年龄组和男女都有疟疾病例，但15-44岁年龄组和男性受影响更大。结论：实施现行疟疾防治措施后，疟疾发病率和死亡率有所下降，但仍是主要的卫生问题，恶性疟原虫仍占优势。因此，应继续在研究区域加强控制活动，同时考虑到恶性疟原虫和间日疟原虫。
Background: Malaria is caused by protozoan parasites of the genus Plasmodium. It is one of the leading causes of illness and death in the world. It is a major public health problem in Ethiopia. Over the past years, the disease has been consistently reported as the first leading cause of outpatient visits, hospitalization and death in health facilities across the country.Methods: A retrospective study was conducted to determine the prevalence of malaria from peripheral blood smear examinations from the Kola Diba Health Center of Ethiopia. The case notes of all malaria cases reported between 2002-2011 were carefully reviewed and analyzed. Additionally, any malaria intervention activities that had been taken to control malaria were collected using a well-prepared checklist from the study area.Results: Within the last decade (2002-2011) a total of 59, 208 blood films were requested for malaria diagnosis in Kola Diba health center and 23,473 (39.6%) microscopically confirmed malaria cases were reported in the town with a fluctuating trend. Regarding the identified plasmodium species, Plasmodium falciparum and Plasmodium vivax accounted for 75% and 25% of malaria morbidity, respectively. Malaria was reported in all age groups and both sexes, but the 15-44 year age group and males were more affected. Despite the apparent fluctuation of malaria trends in the area, the highest peak of malaria cases was reported during spring seasons.Conclusion: Comparatively, after the introduction of the current malaria control strategies, the morbidity and mortality by malaria is decreasing but malaria is still a major health problem and the deadly species P. falciparium is predominant. Therefore, control activities should be continued in a strengthened manner in the study area considering both P. falciparium and P. vivax.