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Sahel, savana, riverine and urban malaria in West Africa: Similar control policies with different outcomes.
- Source :
-
Acta tropica [Acta Trop] 2012 Mar; Vol. 121 (3), pp. 166-74. Date of Electronic Publication: 2011 Nov 19. - Publication Year :
- 2012
-
Abstract
- The study sites for the West African ICEMR are in three countries (The Gambia, Senegal, Mali) and are located within 750 km of each other. In addition, the National Malaria Control Programmes of these countries have virtually identical policies: (1) Artemisinin Combination Therapies (ACTs) for the treatment of symptomatic Plasmodium falciparum infection, (2) Long-Lasting Insecticide-treated bed Nets (LLINs) to reduce the Entomololgic Inoculation Rate (EIR), and (3) sulfadoxine-pyrimethamine for the Intermittent Preventive Treatment of malaria during pregnancy (IPTp). However, the prevalence of P. falciparum malaria and the status of malaria control vary markedly across the four sites with differences in the duration of the transmission season (from 4-5 to 10-11 months), the intensity of transmission (with EIRs from unmeasurably low to 4-5 per person per month), multiplicity of infection (from a mean of 1.0 to means of 2-5) and the status of malaria control (from areas which have virtually no control to areas that are at the threshold of malaria elimination). The most important priority is the need to obtain comparable data on the population-based prevalence, incidence and transmission of malaria before new candidate interventions or combinations of interventions are introduced for malaria control.<br /> (Copyright © 2011 Elsevier B.V. All rights reserved.)
- Subjects :
- Africa, Western epidemiology
Animals
Antimalarials pharmacology
Artemisinins pharmacology
Communicable Disease Control organization & administration
Culicidae drug effects
Culicidae parasitology
Disease Transmission, Infectious prevention & control
Drug Combinations
Female
Humans
Insect Bites and Stings parasitology
Insecticide-Treated Bednets
Insecticides pharmacology
Malaria, Falciparum drug therapy
Malaria, Falciparum epidemiology
Malaria, Falciparum parasitology
National Health Programs legislation & jurisprudence
National Health Programs organization & administration
Plasmodium falciparum pathogenicity
Pregnancy
Pregnancy Complications, Parasitic drug therapy
Pregnancy Complications, Parasitic parasitology
Pregnancy Complications, Parasitic prevention & control
Prevalence
Pyrimethamine therapeutic use
Seasons
Sulfadoxine therapeutic use
Communicable Disease Control legislation & jurisprudence
Health Policy legislation & jurisprudence
Malaria, Falciparum prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1873-6254
- Volume :
- 121
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Acta tropica
- Publication Type :
- Academic Journal
- Accession number :
- 22119584
- Full Text :
- https://doi.org/10.1016/j.actatropica.2011.11.005