The decline in paediatric malaria admissions on the coast of Kenya
Abstract Background There is only limited information on the health impact of expanded coverage of malaria control and preventative strategies in Africa. Methods Paediatric admission data were assembled over 8.25 years from three District Hospitals; Kilifi, Msambweni and Malindi, situated along the...
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ftdoajarticles:oai:doaj.org/article:2fde3f09f20740148d6948018cd5e170 2023-05-15T15:09:37+02:00 The decline in paediatric malaria admissions on the coast of Kenya Peshu Norbert Noor Abdisalan M Sharif Shahnaaz K Gikandi Priscilla W Hay Simon I Okiro Emelda A Marsh Kevin Snow Robert W 2007-11-01T00:00:00Z https://doi.org/10.1186/1475-2875-6-151 https://doaj.org/article/2fde3f09f20740148d6948018cd5e170 EN eng BMC http://www.malariajournal.com/content/6/1/151 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-6-151 1475-2875 https://doaj.org/article/2fde3f09f20740148d6948018cd5e170 Malaria Journal, Vol 6, Iss 1, p 151 (2007) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2007 ftdoajarticles https://doi.org/10.1186/1475-2875-6-151 2022-12-31T00:34:40Z Abstract Background There is only limited information on the health impact of expanded coverage of malaria control and preventative strategies in Africa. Methods Paediatric admission data were assembled over 8.25 years from three District Hospitals; Kilifi, Msambweni and Malindi, situated along the Kenyan Coast. Trends in monthly malaria admissions between January 1999 and March 2007 were analysed using several time-series models that adjusted for monthly non-malaria admission rates and the seasonality and trends in rainfall. Results Since January 1999 paediatric malaria admissions have significantly declined at all hospitals. This trend was observed against a background of rising or constant non-malaria admissions and unaffected by long-term rainfall throughout the surveillance period. By March 2007 the estimated proportional decline in malaria cases was 63% in Kilifi, 53% in Kwale and 28% in Malindi. Time-series models strongly suggest that the observed decline in malaria admissions was a result of malaria-specific control efforts in the hospital catchment areas. Conclusion This study provides evidence of a changing disease burden on the Kenyan coast and that the most parsimonious explanation is an expansion in the coverage of interventions such as the use of insecticide-treated nets and the availability of anti-malarial medicines. While specific attribution to intervention coverage cannot be computed what is clear is that this area of Kenya is experiencing a malaria epidemiological transition. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 6 1 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Peshu Norbert Noor Abdisalan M Sharif Shahnaaz K Gikandi Priscilla W Hay Simon I Okiro Emelda A Marsh Kevin Snow Robert W The decline in paediatric malaria admissions on the coast of Kenya |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background There is only limited information on the health impact of expanded coverage of malaria control and preventative strategies in Africa. Methods Paediatric admission data were assembled over 8.25 years from three District Hospitals; Kilifi, Msambweni and Malindi, situated along the Kenyan Coast. Trends in monthly malaria admissions between January 1999 and March 2007 were analysed using several time-series models that adjusted for monthly non-malaria admission rates and the seasonality and trends in rainfall. Results Since January 1999 paediatric malaria admissions have significantly declined at all hospitals. This trend was observed against a background of rising or constant non-malaria admissions and unaffected by long-term rainfall throughout the surveillance period. By March 2007 the estimated proportional decline in malaria cases was 63% in Kilifi, 53% in Kwale and 28% in Malindi. Time-series models strongly suggest that the observed decline in malaria admissions was a result of malaria-specific control efforts in the hospital catchment areas. Conclusion This study provides evidence of a changing disease burden on the Kenyan coast and that the most parsimonious explanation is an expansion in the coverage of interventions such as the use of insecticide-treated nets and the availability of anti-malarial medicines. While specific attribution to intervention coverage cannot be computed what is clear is that this area of Kenya is experiencing a malaria epidemiological transition. |
format |
Article in Journal/Newspaper |
author |
Peshu Norbert Noor Abdisalan M Sharif Shahnaaz K Gikandi Priscilla W Hay Simon I Okiro Emelda A Marsh Kevin Snow Robert W |
author_facet |
Peshu Norbert Noor Abdisalan M Sharif Shahnaaz K Gikandi Priscilla W Hay Simon I Okiro Emelda A Marsh Kevin Snow Robert W |
author_sort |
Peshu Norbert |
title |
The decline in paediatric malaria admissions on the coast of Kenya |
title_short |
The decline in paediatric malaria admissions on the coast of Kenya |
title_full |
The decline in paediatric malaria admissions on the coast of Kenya |
title_fullStr |
The decline in paediatric malaria admissions on the coast of Kenya |
title_full_unstemmed |
The decline in paediatric malaria admissions on the coast of Kenya |
title_sort |
decline in paediatric malaria admissions on the coast of kenya |
publisher |
BMC |
publishDate |
2007 |
url |
https://doi.org/10.1186/1475-2875-6-151 https://doaj.org/article/2fde3f09f20740148d6948018cd5e170 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 6, Iss 1, p 151 (2007) |
op_relation |
http://www.malariajournal.com/content/6/1/151 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-6-151 1475-2875 https://doaj.org/article/2fde3f09f20740148d6948018cd5e170 |
op_doi |
https://doi.org/10.1186/1475-2875-6-151 |
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Malaria Journal |
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6 |
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1 |
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1766340778152427520 |