Rapid Urban Malaria Appraisal (RUMA) II: Epidemiology of urban malaria in Dar es Salaam (Tanzania)
Abstract Background The thinking behind malaria research and control strategies stems largely from experience gained in rural areas and needs to be adapted to the urban environment. Methods A rapid assessment of urban malaria was conducted in Dar es Salaam in June-August, 2003 using a standard Rapid...
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ftdoajarticles:oai:doaj.org/article:dfb20586891a442180391f110c9aeb66 2023-05-15T15:11:10+02:00 Rapid Urban Malaria Appraisal (RUMA) II: Epidemiology of urban malaria in Dar es Salaam (Tanzania) Manane Lusinge Mshana Thomas Mtasiwa Deodatus Lengeler Christian Wang Shr-Jie Maro Godson Tanner Marcel 2006-04-01T00:00:00Z https://doi.org/10.1186/1475-2875-5-28 https://doaj.org/article/dfb20586891a442180391f110c9aeb66 EN eng BMC http://www.malariajournal.com/content/5/1/29 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-5-28 1475-2875 https://doaj.org/article/dfb20586891a442180391f110c9aeb66 Malaria Journal, Vol 5, Iss 1, p 28 (2006) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2006 ftdoajarticles https://doi.org/10.1186/1475-2875-5-28 2022-12-31T09:15:40Z Abstract Background The thinking behind malaria research and control strategies stems largely from experience gained in rural areas and needs to be adapted to the urban environment. Methods A rapid assessment of urban malaria was conducted in Dar es Salaam in June-August, 2003 using a standard Rapid Urban Malaria Appraisal (RUMA) methodology. This study was part of a multi-site study in sub-Saharan Africa supported by the Roll Back Malaria Partnership. Results Overall, around one million cases of malaria are reported every year by health facilities. However, school surveys in Dar es Salaam during a dry spell in 2003 showed that the prevalence of malaria parasites was low: 0.8%, 1.4%, 2.7% and 3.7% in the centre, intermediate, periphery and surrounding rural areas, respectively. Health facilities surveys showed that only 37/717 (5.2%) of presenting fever cases and 22/781 (2.8%) of non-fever cases were positive by blood slide. As a result, malaria-attributable fractions for fever episodes were low in all age groups and there was an important over-reporting of malaria cases. Increased malarial infection rates were seen in persons who travelled to rural areas within the past three months. A remarkably high coverage of insecticide-treated nets and a corresponding reduction in malarial infection risk were found. Conclusion The number of clinical malaria cases was much lower than routine reporting suggested. Improved malaria diagnosis and re-defined clinical guidelines are urgently required to avoid over-treatment with antimalarials. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 5 1 28 |
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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 Manane Lusinge Mshana Thomas Mtasiwa Deodatus Lengeler Christian Wang Shr-Jie Maro Godson Tanner Marcel Rapid Urban Malaria Appraisal (RUMA) II: Epidemiology of urban malaria in Dar es Salaam (Tanzania) |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background The thinking behind malaria research and control strategies stems largely from experience gained in rural areas and needs to be adapted to the urban environment. Methods A rapid assessment of urban malaria was conducted in Dar es Salaam in June-August, 2003 using a standard Rapid Urban Malaria Appraisal (RUMA) methodology. This study was part of a multi-site study in sub-Saharan Africa supported by the Roll Back Malaria Partnership. Results Overall, around one million cases of malaria are reported every year by health facilities. However, school surveys in Dar es Salaam during a dry spell in 2003 showed that the prevalence of malaria parasites was low: 0.8%, 1.4%, 2.7% and 3.7% in the centre, intermediate, periphery and surrounding rural areas, respectively. Health facilities surveys showed that only 37/717 (5.2%) of presenting fever cases and 22/781 (2.8%) of non-fever cases were positive by blood slide. As a result, malaria-attributable fractions for fever episodes were low in all age groups and there was an important over-reporting of malaria cases. Increased malarial infection rates were seen in persons who travelled to rural areas within the past three months. A remarkably high coverage of insecticide-treated nets and a corresponding reduction in malarial infection risk were found. Conclusion The number of clinical malaria cases was much lower than routine reporting suggested. Improved malaria diagnosis and re-defined clinical guidelines are urgently required to avoid over-treatment with antimalarials. |
format |
Article in Journal/Newspaper |
author |
Manane Lusinge Mshana Thomas Mtasiwa Deodatus Lengeler Christian Wang Shr-Jie Maro Godson Tanner Marcel |
author_facet |
Manane Lusinge Mshana Thomas Mtasiwa Deodatus Lengeler Christian Wang Shr-Jie Maro Godson Tanner Marcel |
author_sort |
Manane Lusinge |
title |
Rapid Urban Malaria Appraisal (RUMA) II: Epidemiology of urban malaria in Dar es Salaam (Tanzania) |
title_short |
Rapid Urban Malaria Appraisal (RUMA) II: Epidemiology of urban malaria in Dar es Salaam (Tanzania) |
title_full |
Rapid Urban Malaria Appraisal (RUMA) II: Epidemiology of urban malaria in Dar es Salaam (Tanzania) |
title_fullStr |
Rapid Urban Malaria Appraisal (RUMA) II: Epidemiology of urban malaria in Dar es Salaam (Tanzania) |
title_full_unstemmed |
Rapid Urban Malaria Appraisal (RUMA) II: Epidemiology of urban malaria in Dar es Salaam (Tanzania) |
title_sort |
rapid urban malaria appraisal (ruma) ii: epidemiology of urban malaria in dar es salaam (tanzania) |
publisher |
BMC |
publishDate |
2006 |
url |
https://doi.org/10.1186/1475-2875-5-28 https://doaj.org/article/dfb20586891a442180391f110c9aeb66 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 5, Iss 1, p 28 (2006) |
op_relation |
http://www.malariajournal.com/content/5/1/29 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-5-28 1475-2875 https://doaj.org/article/dfb20586891a442180391f110c9aeb66 |
op_doi |
https://doi.org/10.1186/1475-2875-5-28 |
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Malaria Journal |
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5 |
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1 |
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28 |
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