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Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana.

Klinkenberg, Eveline, Onwona-Agyeman, Kwabena A, McCall, Philip ORCID: https://orcid.org/0000-0002-0007-3985, Wilson, Michael D, 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 (2010) 'Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana.'. Transactions of the Royal Society of Tropical Medicine and Hygiene, Vol 104, Issue 7, pp. 496-503.

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Abstract

The efficacy of insecticide-treated nets (ITNs) in prevention of malaria and anaemia has been shown in rural settings, but their impact in urban settings is unknown. We carried out an ITN intervention in two communities in urban Accra, Ghana, where local malaria transmission is known to occur. There was evidence for a mass or community effect, despite ITN use by fewer than 35% of households. Children living within 300 m of a household with an ITN had higher haemoglobin concentrations (0.5g/dl higher, P=0.011) and less anaemia (odds ratio 2.21, 95% CI 1.08-4.52, P=0.031 at month 6), than children living more than 300 m away from a household with an ITN, although malaria parasitaemias were similar. With urban populations growing rapidly across Africa, this study shows that ITNs will be an effective tool to assist African countries to achieve their Millennium Development Goals in urban settings. [Registered trial number ISRCTN42261314; http://www.controlled-trials.com/ISRCTN42261314].

Item Type: Article
Subjects: WA Public Health > WA 105 Epidemiology
WA Public Health > Preventive Medicine > WA 108 Preventive health services. Preventive medicine. Travel Medicine.
WA Public Health > Preventive Medicine > WA 110 Prevention and control of communicable diseases. Transmission of infectious diseases
WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WB Practice of Medicine > Medical Climatology > WB 710 Diseases of geographic areas
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 750 Malaria
Digital Object Identifer (DOI): https://doi.org/10.1016/j.trstmh.2010.03.004
Depositing User: Users 183 not found.
Date Deposited: 06 Oct 2010 14:52
Last Modified: 27 Sep 2018 10:33
URI: http://archive.lstmed.ac.uk/id/eprint/1658

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