Burden of malaria at community level in children less than 5 years of age in Togo

Eliades, M. J., Wolkon, A., Morgah, K., Crawford, S. B., Dorkenoo, A., Sodahlon, Y., Hawley, W. A., Hightower, A. W., terKuile, Feiko ORCID: https://orcid.org/0000-0003-3663-5617 and Terlouw, Anja ORCID: https://orcid.org/0000-0001-5327-8995 (2006) 'Burden of malaria at community level in children less than 5 years of age in Togo'. American Journal of Tropical Medicine and Hygiene, Vol 75, Issue 4, pp. 622-629.

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Abstract

A community-based baseline cross-sectional survey was conducted in three districts in Togo in September 2004 as part of a multidisciplinary evaluation of the impact of the Togo National Integrated Child Health Campaign. During this campaign, long-lasting-insecticide-treated bed nets (LLITNs) were distributed to households with children between 9 months and 5 years of age throughout the country in December 2004. The pre-intervention survey provided baseline malaria and anemia prevalence in children < 5 years of age during peak malaria transmission. Of 2,532 enrolled children from 1,740 households, 62.2% (1,352/2,172) were parasitemic and 84.4% (2,129/2,524) were anemic (hemoglobin < 11 g/dL). Moderate-to-severe anemia (< 8.0 g/dL) was found in 21.7% (543/2,524), with a peak prevalence in children 6-17 months of age and was strongly correlated with parasitemia (OR = 2.3, 95% CI: 1.8-2.5). Net ownership (mainly untreated) was 225/2,532 (8.9%). Subsequent nation-wide introduction of LLITNs and the introduction of artemisinin-based combination therapy have the potential to markedly reduce this burden of malaria.

Item Type:	Article
Subjects:	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) 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 WC Communicable Diseases > WC 20 Research (General) WC Communicable Diseases > Tropical and Parasitic Diseases > WC 750 Malaria WS Pediatrics > By Age Groups > WS 430 Infancy WS Pediatrics > By Age Groups > WS 440 Preschool child
Digital Object Identifer (DOI):	https://doi.org/10.4269/ajtmh.2006.75.622
Depositing User:	Sarah Lewis-Newton
Date Deposited:	16 Feb 2011 15:59
Last Modified:	20 Nov 2024 12:44
URI:	https://archive.lstmed.ac.uk/id/eprint/1481

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