Journal article
The decline in paediatric malaria admissions on the coast of Kenya
- Abstract:
- Background: There is only limited information on the health impact of expanded coverage of malaria control and preventative strategies in Africa. Methods: Paediatric admission data were assembled over 8.25 years from three District Hospitals; Kilifi, Msambweni and Malindi, situated along the Kenyan Coast. Trends in monthly malaria admissions between January 1999 and March 2007 were analysed using several time-series models that adjusted for monthly non-malaria admission rates and the seasonality and trends in rainfall. Results: Since January 1999 paediatric malaria admissions have significantly declined at all hospitals. This trend was observed against a background of rising or constant non-malaria admissions and unaffected by long-term rainfall throughout the surveillance period. By March 2007 the estimated proportional decline in malaria cases was 63% in Kilifi, 53% in Kwale and 28% in Malindi. Time-series models strongly suggest that the observed decline in malaria admissions was a result of malaria-specific control efforts in the hospital catchment areas. Conclusion: This study provides evidence of a changing disease burden on the Kenyan coast and that the most parsimonious explanation is an expansion in the coverage of interventions such as the use of insecticide-treated nets and the availability of anti-malarial medicines. While specific attribution to intervention coverage cannot be computed what is clear is that this area of Kenya is experiencing a malaria epidemiological transition.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Version of record, bin, 445.5KB, Terms of use)
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- Publisher copy:
- 10.1186/1475-2875-6-151
Authors
- Publisher:
- BioMed Central
- Journal:
- Malaria Journal More from this journal
- Volume:
- 6
- Article number:
- 151
- Publication date:
- 2007-11-01
- Edition:
- Publisher's version
- DOI:
- ISSN:
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1475-2875
- Language:
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English
- Keywords:
- Subjects:
- UUID:
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uuid:9cf358e9-8fd2-4ec3-8164-50e5a3f19ab6
- Local pid:
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ora:2407
- Deposit date:
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2008-10-29
- ARK identifier:
Terms of use
- Copyright holder:
- Okiro et al
- Copyright date:
- 2007
- Notes:
- Citation: Okiro, E. A. et al. (2007). 'The decline in paediatric malaria admissions on the coast of Kenya', Malaria Journal, 6:151. [This article is available from: http://www.malariajournal.com/content/6/1/151]. Copyright 2007 Okiro et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
- Licence:
- CC Attribution (CC BY)
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