Spleen rates and infant parasite rates as surveillance tool for malaria control in remote hard to reach areas of central India
Abstract Background Malaria due to both Plasmodium falciparum and Plasmodium vivax is a major public health problem in India. The quantification of malaria transmission for the classification of malaria risk has long been a concern for epidemiologists. Results are presented from 30 cross-sectional s...
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ftdoajarticles:oai:doaj.org/article:d4a60e8212f84a7a9d206aeea8bb05c0 2023-05-15T15:17:35+02:00 Spleen rates and infant parasite rates as surveillance tool for malaria control in remote hard to reach areas of central India Shukla Manmohan Singh Neeru Singh Mrigendra P 2011-12-01T00:00:00Z https://doi.org/10.1186/1475-2875-10-381 https://doaj.org/article/d4a60e8212f84a7a9d206aeea8bb05c0 EN eng BMC http://www.malariajournal.com/content/10/1/381 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-10-381 1475-2875 https://doaj.org/article/d4a60e8212f84a7a9d206aeea8bb05c0 Malaria Journal, Vol 10, Iss 1, p 381 (2011) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2011 ftdoajarticles https://doi.org/10.1186/1475-2875-10-381 2022-12-31T00:41:43Z Abstract Background Malaria due to both Plasmodium falciparum and Plasmodium vivax is a major public health problem in India. The quantification of malaria transmission for the classification of malaria risk has long been a concern for epidemiologists. Results are presented from 30 cross-sectional surveys which measured spleen rates (SR) and infant parasite rates (IPR) in the forested districts of Madhya Pradesh during malaria outbreaks to assess whether both IPR and SR can still be used as indicators of malaria endemicity as spleen examination has lost much of its value as an epidemiological indicator in areas where anti-malarials drugs are widely used. Methods Rapid fever surveys were carried out from door to door and all suspected malaria cases in the entire population of a village were screened for malaria parasites on the basis of clinical symptoms such as fever, chill, rigor, headache and body ache etc. Children between 2 and 9 years were examined for enlarged spleen according to Hacketts method. Finger prick blood smears were collected from all children with enlarged spleen with or without fever after obtaining written informed consent following institutional ethical guidelines. Infants less than 1 year were also screened for malaria with or without fever. Results Since malaria is local and focal, in some areas the outbreak waned quickly in few months and in some areas continued for 3 to 4 years. The analysis of trend revealed that when IPR decline over the years as a result of malaria intervention measures, SR also decline. In case splenomegaly continues without diminution in size, it is probably due to recrudescence or relapse, although it is not possible to separate malaria parasite species on the basis of SR. Conclusion Both the tools are of immense value in evaluating and assessing the malaria situation especially in remote areas where sophisticated molecular and serological techniques are difficult to establish. Therefore, in forested areas malaria surveillance system will require adoption of ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 10 1 381 |
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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 Shukla Manmohan Singh Neeru Singh Mrigendra P Spleen rates and infant parasite rates as surveillance tool for malaria control in remote hard to reach areas of central India |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Malaria due to both Plasmodium falciparum and Plasmodium vivax is a major public health problem in India. The quantification of malaria transmission for the classification of malaria risk has long been a concern for epidemiologists. Results are presented from 30 cross-sectional surveys which measured spleen rates (SR) and infant parasite rates (IPR) in the forested districts of Madhya Pradesh during malaria outbreaks to assess whether both IPR and SR can still be used as indicators of malaria endemicity as spleen examination has lost much of its value as an epidemiological indicator in areas where anti-malarials drugs are widely used. Methods Rapid fever surveys were carried out from door to door and all suspected malaria cases in the entire population of a village were screened for malaria parasites on the basis of clinical symptoms such as fever, chill, rigor, headache and body ache etc. Children between 2 and 9 years were examined for enlarged spleen according to Hacketts method. Finger prick blood smears were collected from all children with enlarged spleen with or without fever after obtaining written informed consent following institutional ethical guidelines. Infants less than 1 year were also screened for malaria with or without fever. Results Since malaria is local and focal, in some areas the outbreak waned quickly in few months and in some areas continued for 3 to 4 years. The analysis of trend revealed that when IPR decline over the years as a result of malaria intervention measures, SR also decline. In case splenomegaly continues without diminution in size, it is probably due to recrudescence or relapse, although it is not possible to separate malaria parasite species on the basis of SR. Conclusion Both the tools are of immense value in evaluating and assessing the malaria situation especially in remote areas where sophisticated molecular and serological techniques are difficult to establish. Therefore, in forested areas malaria surveillance system will require adoption of ... |
format |
Article in Journal/Newspaper |
author |
Shukla Manmohan Singh Neeru Singh Mrigendra P |
author_facet |
Shukla Manmohan Singh Neeru Singh Mrigendra P |
author_sort |
Shukla Manmohan |
title |
Spleen rates and infant parasite rates as surveillance tool for malaria control in remote hard to reach areas of central India |
title_short |
Spleen rates and infant parasite rates as surveillance tool for malaria control in remote hard to reach areas of central India |
title_full |
Spleen rates and infant parasite rates as surveillance tool for malaria control in remote hard to reach areas of central India |
title_fullStr |
Spleen rates and infant parasite rates as surveillance tool for malaria control in remote hard to reach areas of central India |
title_full_unstemmed |
Spleen rates and infant parasite rates as surveillance tool for malaria control in remote hard to reach areas of central India |
title_sort |
spleen rates and infant parasite rates as surveillance tool for malaria control in remote hard to reach areas of central india |
publisher |
BMC |
publishDate |
2011 |
url |
https://doi.org/10.1186/1475-2875-10-381 https://doaj.org/article/d4a60e8212f84a7a9d206aeea8bb05c0 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 10, Iss 1, p 381 (2011) |
op_relation |
http://www.malariajournal.com/content/10/1/381 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-10-381 1475-2875 https://doaj.org/article/d4a60e8212f84a7a9d206aeea8bb05c0 |
op_doi |
https://doi.org/10.1186/1475-2875-10-381 |
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Malaria Journal |
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10 |
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381 |
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