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Urban malaria and anaemia in children: a cross-sectional survey in two cities of Ghana

Klinkenberg, Eveline, McCall, Philip ORCID: https://orcid.org/0000-0002-0007-3985, Wilson, M. D., Akoto, A. O., Amerasinghe, F. P., Bates, Imelda ORCID: https://orcid.org/0000-0002-0862-8199, Verhoeff, Francine H., Barnish, Guy and Donnelly, Martin ORCID: https://orcid.org/0000-0001-5218-1497 (2006) 'Urban malaria and anaemia in children: a cross-sectional survey in two cities of Ghana'. Tropical Medicine & International Health, Vol 11, Issue 5, pp. 578-588.

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Abstract

Objective: To describe the epidemiology of urban malaria, an emerging problem in sub-Saharan Africa.
Method: Cross-sectional surveys of communities in Accra and Kumasi, Ghana, determining risk factors for malaria infection and anaemia in children aged 6-60 months.
Conclusions: Malaria prevalence rates ranged from 2% to 33% between urban communities. 47.1% of children were anaemic (Hb < 11.0 g/dl). Factors associated with malaria prevalence were low socio-economic status, age and anaemia. The attributable risks of anaemia and severe anaemia (Hb < 8.0 g/dl) caused by malaria were 5% and 23% respectively.
Conclusions: Malaria in urban areas displayed a heterogeneity and complexity that differed from the rural environment, which has important implications for malaria control. Marked intra-city variation indicates the importance of targeting specific areas or districts. The most vulnerable group, the urban poor, should be prioritized when designing control measures. This would require careful assessment of the malaria risk pattern in any city to guide an integrated control program.

Item Type: Article
Uncontrolled Keywords: malaria anaemia ghana urbanization health vulnerability sub-saharan africa plasmodium-falciparum risk-factors tanzanian children preschool-children yaounde cameroon periurban area western kenya urbanization transmission
Subjects: QX Parasitology > Insects. Other Parasites > QX 650 Insect vectors
QZ Pathology > Manifestations of Disease > QZ 140 General manifestations of disease > QZ 150 Local reactions to injury and disease
WA Public Health > Preventive Medicine > WA 110 Prevention and control of communicable diseases. Transmission of infectious diseases
WB Practice of Medicine > Medical Climatology > WB 700 Medical climatology. Geography of disease
WB Practice of Medicine > Medical Climatology > WB 710 Diseases of geographic areas
WB Practice of Medicine > Medical Climatology > WB 720 Diseases of ethnic groups (General or not elsewhere classified)
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 695 Parasitic diseases (General)
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 750 Malaria
Faculty: Department: Groups (2002 - 2012) > Disease Control Strategy Group
Groups (2002 - 2012) > Vector Group
Digital Object Identifer (DOI): https://doi.org/10.1111/j.1365-3156.2006.01609.x
Depositing User: Sarah Lewis-Newton
Date Deposited: 21 Feb 2011 16:32
Last Modified: 06 Feb 2018 13:02
URI: https://archive.lstmed.ac.uk/id/eprint/1530

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