<it>Plasmodium vivax</it> and <it>Plasmodium falciparum</it> infections in the Republic of Djibouti: evaluation of their prevalence and potential determinants

<p>Abstract</p> <p>Background</p> <p>Formerly known as a hypoendemic malaria country, the Republic of Djibouti declared the goal of pre-eliminating malaria in 2006. The aim of the present study was to evaluate the prevalence of <it>Plasmodium falciparum</it>...

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Main Authors: Khaireh Bouh Abdi, Briolant Sébastien, Pascual Aurélie, Mokrane Madjid, Machault Vanessa, Travaillé Christelle, Khaireh Mohamed Abdi, Farah Ismail Hassan, Ali Habib Moussa, Abdi Abdul-Ilah Ahmed, Ayeh Souleiman, Darar Houssein Youssouf, Ollivier Lénaïck, Waiss Mohamed Killeh, Bogreau Hervé, Rogier Christophe, Pradines Bruno
Format: Article
Language:English
Published: BMC 2012-11-01
Series:Malaria Journal
Subjects:
Online Access:http://www.malariajournal.com/content/11/1/395
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author Khaireh Bouh Abdi
Briolant Sébastien
Pascual Aurélie
Mokrane Madjid
Machault Vanessa
Travaillé Christelle
Khaireh Mohamed Abdi
Farah Ismail Hassan
Ali Habib Moussa
Abdi Abdul-Ilah Ahmed
Ayeh Souleiman
Darar Houssein Youssouf
Ollivier Lénaïck
Waiss Mohamed Killeh
Bogreau Hervé
Rogier Christophe
Pradines Bruno
author_facet Khaireh Bouh Abdi
Briolant Sébastien
Pascual Aurélie
Mokrane Madjid
Machault Vanessa
Travaillé Christelle
Khaireh Mohamed Abdi
Farah Ismail Hassan
Ali Habib Moussa
Abdi Abdul-Ilah Ahmed
Ayeh Souleiman
Darar Houssein Youssouf
Ollivier Lénaïck
Waiss Mohamed Killeh
Bogreau Hervé
Rogier Christophe
Pradines Bruno
author_sort Khaireh Bouh Abdi
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Formerly known as a hypoendemic malaria country, the Republic of Djibouti declared the goal of pre-eliminating malaria in 2006. The aim of the present study was to evaluate the prevalence of <it>Plasmodium falciparum</it>, <it>Plasmodium vivax</it> and mixed infections in the Djiboutian population by using serological tools and to identify potential determinants of the disease and hotspots of malaria transmission within the country.</p> <p>Methods</p> <p>The prevalence of <it>P</it>. <it>falciparum</it> and <it>P</it>. <it>vivax</it> within the districts of the capital city and the rest of the Republic of Djibouti were assessed using 13 and 2 serological markers, respectively. The relationship between the immune humeral response to <it>P</it>. <it>falciparum</it> and <it>P</it>. <it>vivax</it> and variables such as age, gender, wealth status, urbanism, educational level, distance to rivers/lakes, living area, having fever in the last month, and staying in a malaria-endemic country more than one year was estimated and analysed by questionnaires administered to 1910 Djiboutians. Multivariate ordinal logistic regression models of the immune humeral response were obtained for <it>P</it>. <it>falciparum</it> and <it>P</it>. <it>vivax</it>.</p> <p>Results</p> <p>The <it>P</it>. <it>falciparum</it> and <it>P</it>. <it>vivax</it> seroprevalence rates were 31.5%, CI95% [29.4-33.7] and 17.5%, CI95% [15.8-19.3], respectively. Protective effects against <it>P</it>. <it>falciparum</it> and <it>P</it>. <it>vivax</it> were female gender, educational level, and never having visited a malaria-endemic area for more than one year. For <it>P</it>. <it>falciparum</it> only, a protective effect was observed for not having a fever in the last month, living more than 1.5 km away from lakes and rivers, and younger ages.</p> <p>Conclusions</p> <p>This is the first study that assessed the seroprevalence of <it>P</it>. <it>vivax</it> in the Republic of Djibouti. It is necessary to improve knowledge of this pathogen in order to create an effective elimination programme. As supported by recent observations on the subject, the Republic of Djibouti has probably demonstrated a real decrease in the transmission of <it>P</it>. <it>falciparum</it> in the past seven years, which should encourage authorities to improve efforts toward elimination.</p>
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spelling doaj.art-28b77c589365495987912eade5d14bd62022-12-22T02:46:18ZengBMCMalaria Journal1475-28752012-11-0111139510.1186/1475-2875-11-395<it>Plasmodium vivax</it> and <it>Plasmodium falciparum</it> infections in the Republic of Djibouti: evaluation of their prevalence and potential determinantsKhaireh Bouh AbdiBriolant SébastienPascual AurélieMokrane MadjidMachault VanessaTravaillé ChristelleKhaireh Mohamed AbdiFarah Ismail HassanAli Habib MoussaAbdi Abdul-Ilah AhmedAyeh SouleimanDarar Houssein YoussoufOllivier LénaïckWaiss Mohamed KillehBogreau HervéRogier ChristophePradines Bruno<p>Abstract</p> <p>Background</p> <p>Formerly known as a hypoendemic malaria country, the Republic of Djibouti declared the goal of pre-eliminating malaria in 2006. The aim of the present study was to evaluate the prevalence of <it>Plasmodium falciparum</it>, <it>Plasmodium vivax</it> and mixed infections in the Djiboutian population by using serological tools and to identify potential determinants of the disease and hotspots of malaria transmission within the country.</p> <p>Methods</p> <p>The prevalence of <it>P</it>. <it>falciparum</it> and <it>P</it>. <it>vivax</it> within the districts of the capital city and the rest of the Republic of Djibouti were assessed using 13 and 2 serological markers, respectively. The relationship between the immune humeral response to <it>P</it>. <it>falciparum</it> and <it>P</it>. <it>vivax</it> and variables such as age, gender, wealth status, urbanism, educational level, distance to rivers/lakes, living area, having fever in the last month, and staying in a malaria-endemic country more than one year was estimated and analysed by questionnaires administered to 1910 Djiboutians. Multivariate ordinal logistic regression models of the immune humeral response were obtained for <it>P</it>. <it>falciparum</it> and <it>P</it>. <it>vivax</it>.</p> <p>Results</p> <p>The <it>P</it>. <it>falciparum</it> and <it>P</it>. <it>vivax</it> seroprevalence rates were 31.5%, CI95% [29.4-33.7] and 17.5%, CI95% [15.8-19.3], respectively. Protective effects against <it>P</it>. <it>falciparum</it> and <it>P</it>. <it>vivax</it> were female gender, educational level, and never having visited a malaria-endemic area for more than one year. For <it>P</it>. <it>falciparum</it> only, a protective effect was observed for not having a fever in the last month, living more than 1.5 km away from lakes and rivers, and younger ages.</p> <p>Conclusions</p> <p>This is the first study that assessed the seroprevalence of <it>P</it>. <it>vivax</it> in the Republic of Djibouti. It is necessary to improve knowledge of this pathogen in order to create an effective elimination programme. As supported by recent observations on the subject, the Republic of Djibouti has probably demonstrated a real decrease in the transmission of <it>P</it>. <it>falciparum</it> in the past seven years, which should encourage authorities to improve efforts toward elimination.</p>http://www.malariajournal.com/content/11/1/395Malaria<it>Plasmodium falciparum</it><it>Plasmodium vivax</it>SeroprevalenceSerological markerDjibouti
spellingShingle Khaireh Bouh Abdi
Briolant Sébastien
Pascual Aurélie
Mokrane Madjid
Machault Vanessa
Travaillé Christelle
Khaireh Mohamed Abdi
Farah Ismail Hassan
Ali Habib Moussa
Abdi Abdul-Ilah Ahmed
Ayeh Souleiman
Darar Houssein Youssouf
Ollivier Lénaïck
Waiss Mohamed Killeh
Bogreau Hervé
Rogier Christophe
Pradines Bruno
<it>Plasmodium vivax</it> and <it>Plasmodium falciparum</it> infections in the Republic of Djibouti: evaluation of their prevalence and potential determinants
Malaria Journal
Malaria
<it>Plasmodium falciparum</it>
<it>Plasmodium vivax</it>
Seroprevalence
Serological marker
Djibouti
title <it>Plasmodium vivax</it> and <it>Plasmodium falciparum</it> infections in the Republic of Djibouti: evaluation of their prevalence and potential determinants
title_full <it>Plasmodium vivax</it> and <it>Plasmodium falciparum</it> infections in the Republic of Djibouti: evaluation of their prevalence and potential determinants
title_fullStr <it>Plasmodium vivax</it> and <it>Plasmodium falciparum</it> infections in the Republic of Djibouti: evaluation of their prevalence and potential determinants
title_full_unstemmed <it>Plasmodium vivax</it> and <it>Plasmodium falciparum</it> infections in the Republic of Djibouti: evaluation of their prevalence and potential determinants
title_short <it>Plasmodium vivax</it> and <it>Plasmodium falciparum</it> infections in the Republic of Djibouti: evaluation of their prevalence and potential determinants
title_sort it plasmodium vivax it and it plasmodium falciparum it infections in the republic of djibouti evaluation of their prevalence and potential determinants
topic Malaria
<it>Plasmodium falciparum</it>
<it>Plasmodium vivax</it>
Seroprevalence
Serological marker
Djibouti
url http://www.malariajournal.com/content/11/1/395
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