Risk factors for malaria deaths in Jalpaiguri district, West Bengal, India: evidence for further action
BackgroundIn 2006, a cluster of malaria deaths in the highly endemic Jalpaiguri district, West Bengal, India, led to assignment of additional resources. Malaria deaths decreased, but continued to occur. A study was conducted to identify the risk factors for residual malaria deaths.MethodsMalaria dea...
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ftcarolinadr:cdr.lib.unc.edu:2z10wx70v 2023-11-12T04:13:59+01:00 Risk factors for malaria deaths in Jalpaiguri district, West Bengal, India: evidence for further action Sarkar, Jagannath Murhekar, Manoj V Shah, Naman K Hutin, Yvan 2009 https://doi.org/10.17615/vkn1-tv59 https://cdr.lib.unc.edu/downloads/s4655q733?file=thumbnail https://cdr.lib.unc.edu/downloads/s4655q733 English eng https://doi.org/10.17615/vkn1-tv59 https://cdr.lib.unc.edu/downloads/s4655q733?file=thumbnail https://cdr.lib.unc.edu/downloads/s4655q733 http://rightsstatements.org/vocab/InC/1.0/ Malaria Journal, 8(1) DOAJ:Health Sciences Infectious and parasitic diseases Case-Control Studies Malaria Blood Medicine DOAJ:Internal medicine Plasmodium falciparum Humans Research Adolescent Child Arctic medicine. Tropical medicine Aged RC955-962 Adult R Falciparum Middle Aged DOAJ:Medicine (General) RC109-216 Risk Factors Animals RC31-1245 80 and over Preschool Internal medicine Article 2009 ftcarolinadr https://doi.org/10.17615/vkn1-tv59 2023-10-14T22:27:28Z BackgroundIn 2006, a cluster of malaria deaths in the highly endemic Jalpaiguri district, West Bengal, India, led to assignment of additional resources. Malaria deaths decreased, but continued to occur. A study was conducted to identify the risk factors for residual malaria deaths.MethodsMalaria death was defined as a death from fever with microscopically confirmed Plasmodium falciparum among residents of Jalpaiguri during 2007–2008. For each case, three age-, sex- and locality-matched controls were recruited among microscopically confirmed falciparum malaria patients cured during the same period. Clinical and treatment information was abstracted from records. Information about knowledge about malaria, presence of bed nets and DDT spraying was collected through interviews of the close relatives of study subjects. Odds ratio (OR) were calculated using multivariate methods.Results51 malaria deaths were matched with 153 controls, which did not differ by age (median: 35 versus 36 years) and proportion of males (63% versus 63%). On multiple logistic regression analysis, compared with survivors, malaria deaths were more likely to have been admitted with already existing complications [OR = 4.1, 95% confidence interval (CI) = 1.6–10)], treated at a private facility (OR = 3.7, 95% CI = 1.2–12), received treatment after 48 hours of fever onset (OR = 14, 95% CI = 2.9–64), received chloroquine (OR = 13.3, 95% CI = 3.7–47). Households of the deceased were also more likely to miss bed nets (OR = 6.3, 95% CI = 1.9–24) and DDT spraying (OR = 9.2, 95% CI = 2.8–31).ConclusionElimination of malaria deaths will require education of providers for prompt referral before complications, engagement of the private sector, community awareness for early treatment as well as scaled-up use of bed nets use and DDT. Use of newer generation anti-malarials must to be generalized. Article in Journal/Newspaper Arctic Carolina Digital Repository (UNC - University of North Carolina) Arctic |
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Carolina Digital Repository (UNC - University of North Carolina) |
op_collection_id |
ftcarolinadr |
language |
English |
topic |
DOAJ:Health Sciences Infectious and parasitic diseases Case-Control Studies Malaria Blood Medicine DOAJ:Internal medicine Plasmodium falciparum Humans Research Adolescent Child Arctic medicine. Tropical medicine Aged RC955-962 Adult R Falciparum Middle Aged DOAJ:Medicine (General) RC109-216 Risk Factors Animals RC31-1245 80 and over Preschool Internal medicine |
spellingShingle |
DOAJ:Health Sciences Infectious and parasitic diseases Case-Control Studies Malaria Blood Medicine DOAJ:Internal medicine Plasmodium falciparum Humans Research Adolescent Child Arctic medicine. Tropical medicine Aged RC955-962 Adult R Falciparum Middle Aged DOAJ:Medicine (General) RC109-216 Risk Factors Animals RC31-1245 80 and over Preschool Internal medicine Sarkar, Jagannath Murhekar, Manoj V Shah, Naman K Hutin, Yvan Risk factors for malaria deaths in Jalpaiguri district, West Bengal, India: evidence for further action |
topic_facet |
DOAJ:Health Sciences Infectious and parasitic diseases Case-Control Studies Malaria Blood Medicine DOAJ:Internal medicine Plasmodium falciparum Humans Research Adolescent Child Arctic medicine. Tropical medicine Aged RC955-962 Adult R Falciparum Middle Aged DOAJ:Medicine (General) RC109-216 Risk Factors Animals RC31-1245 80 and over Preschool Internal medicine |
description |
BackgroundIn 2006, a cluster of malaria deaths in the highly endemic Jalpaiguri district, West Bengal, India, led to assignment of additional resources. Malaria deaths decreased, but continued to occur. A study was conducted to identify the risk factors for residual malaria deaths.MethodsMalaria death was defined as a death from fever with microscopically confirmed Plasmodium falciparum among residents of Jalpaiguri during 2007–2008. For each case, three age-, sex- and locality-matched controls were recruited among microscopically confirmed falciparum malaria patients cured during the same period. Clinical and treatment information was abstracted from records. Information about knowledge about malaria, presence of bed nets and DDT spraying was collected through interviews of the close relatives of study subjects. Odds ratio (OR) were calculated using multivariate methods.Results51 malaria deaths were matched with 153 controls, which did not differ by age (median: 35 versus 36 years) and proportion of males (63% versus 63%). On multiple logistic regression analysis, compared with survivors, malaria deaths were more likely to have been admitted with already existing complications [OR = 4.1, 95% confidence interval (CI) = 1.6–10)], treated at a private facility (OR = 3.7, 95% CI = 1.2–12), received treatment after 48 hours of fever onset (OR = 14, 95% CI = 2.9–64), received chloroquine (OR = 13.3, 95% CI = 3.7–47). Households of the deceased were also more likely to miss bed nets (OR = 6.3, 95% CI = 1.9–24) and DDT spraying (OR = 9.2, 95% CI = 2.8–31).ConclusionElimination of malaria deaths will require education of providers for prompt referral before complications, engagement of the private sector, community awareness for early treatment as well as scaled-up use of bed nets use and DDT. Use of newer generation anti-malarials must to be generalized. |
format |
Article in Journal/Newspaper |
author |
Sarkar, Jagannath Murhekar, Manoj V Shah, Naman K Hutin, Yvan |
author_facet |
Sarkar, Jagannath Murhekar, Manoj V Shah, Naman K Hutin, Yvan |
author_sort |
Sarkar, Jagannath |
title |
Risk factors for malaria deaths in Jalpaiguri district, West Bengal, India: evidence for further action |
title_short |
Risk factors for malaria deaths in Jalpaiguri district, West Bengal, India: evidence for further action |
title_full |
Risk factors for malaria deaths in Jalpaiguri district, West Bengal, India: evidence for further action |
title_fullStr |
Risk factors for malaria deaths in Jalpaiguri district, West Bengal, India: evidence for further action |
title_full_unstemmed |
Risk factors for malaria deaths in Jalpaiguri district, West Bengal, India: evidence for further action |
title_sort |
risk factors for malaria deaths in jalpaiguri district, west bengal, india: evidence for further action |
publishDate |
2009 |
url |
https://doi.org/10.17615/vkn1-tv59 https://cdr.lib.unc.edu/downloads/s4655q733?file=thumbnail https://cdr.lib.unc.edu/downloads/s4655q733 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, 8(1) |
op_relation |
https://doi.org/10.17615/vkn1-tv59 https://cdr.lib.unc.edu/downloads/s4655q733?file=thumbnail https://cdr.lib.unc.edu/downloads/s4655q733 |
op_rights |
http://rightsstatements.org/vocab/InC/1.0/ |
op_doi |
https://doi.org/10.17615/vkn1-tv59 |
_version_ |
1782331748651106304 |