1. Persistent Parasitemia Despite Dramatic Reduction in Malaria Incidence After 3 Rounds of Indoor Residual Spraying in Tororo, Uganda
- Author
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Nankabirwa, Joaniter I, Briggs, Jessica, Rek, John, Arinaitwe, Emmanuel, Nayebare, Patience, Katrak, Shereen, Staedke, Sarah G, Rosenthal, Philip J, Rodriguez-Barraquer, Isabel, Kamya, Moses R, Dorsey, Grant, and Greenhouse, Bryan
- Subjects
Medical Microbiology ,Biomedical and Clinical Sciences ,Clinical Sciences ,Vector-Borne Diseases ,Rare Diseases ,HIV/AIDS ,Clinical Research ,Infectious Diseases ,Malaria ,2.4 Surveillance and distribution ,Aetiology ,Infection ,Good Health and Well Being ,Adolescent ,Adult ,Child ,Child ,Preschool ,Disease Reservoirs ,Humans ,Incidence ,Infant ,Insecticides ,Malaria ,Falciparum ,Mosquito Control ,Mosquito Vectors ,Parasitemia ,Phenylcarbamates ,Prevalence ,Uganda ,Young Adult ,malaria ,infectious reservoir ,indoor residual spraying ,parasitemia ,Biological Sciences ,Medical and Health Sciences ,Microbiology ,Biological sciences ,Biomedical and clinical sciences ,Health sciences - Abstract
BackgroundIndoor residual spraying of insecticide (IRS) has been associated with reductions in the incidence of malaria, but its impact on malaria parasitemia is unclear.MethodsWe followed 469 participants from August 2011 to May 2016 in Tororo, Uganda, a historically high malaria transmission setting. Three rounds of IRS with bendiocarb were implemented from December 2014 to December 2015. Symptomatic malaria episodes were identified by passive surveillance. Parasitemia was identified by active surveillance every 1-3 months using microscopy and Plasmodium falciparum-specific loop-mediated isothermal amplification.ResultsIRS was associated with a significant decline in the incidence of symptomatic malaria irrespective of age (episodes per person per year declined from 3.98 to 0.13 in children aged
- Published
- 2019