Burden of malaria, impact of interventions and climate variability in Western Ethiopia: an area with large irrigation based farming

Abstract Background Land use change has increasingly been expanding throughout the world in the past decades. It can have profound effects on the spatial and temporal distribution of vector borne diseases like malaria through ecological and habitat change. Understanding malaria disease occurrence an...

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Main Authors: Werissaw Haileselassie, Daniel M. Parker, Behailu Taye, Randy E. David, Endalew Zemene, Ming-Chieh Lee, Daibin Zhong, Guofa Zhou, Tesfahun Alemu, Getnet Tadele, James W. Kazura, Cristian Koepfli, Wakgari Deressa, Delenasaw Yewhalaw, Guiyun Yan
Format: Article
Language:English
Published: BMC 2022-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-022-12571-9
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author Werissaw Haileselassie
Daniel M. Parker
Behailu Taye
Randy E. David
Endalew Zemene
Ming-Chieh Lee
Daibin Zhong
Guofa Zhou
Tesfahun Alemu
Getnet Tadele
James W. Kazura
Cristian Koepfli
Wakgari Deressa
Delenasaw Yewhalaw
Guiyun Yan
author_facet Werissaw Haileselassie
Daniel M. Parker
Behailu Taye
Randy E. David
Endalew Zemene
Ming-Chieh Lee
Daibin Zhong
Guofa Zhou
Tesfahun Alemu
Getnet Tadele
James W. Kazura
Cristian Koepfli
Wakgari Deressa
Delenasaw Yewhalaw
Guiyun Yan
author_sort Werissaw Haileselassie
collection DOAJ
description Abstract Background Land use change has increasingly been expanding throughout the world in the past decades. It can have profound effects on the spatial and temporal distribution of vector borne diseases like malaria through ecological and habitat change. Understanding malaria disease occurrence and the impact of prevention interventions under this intense environmental modification is important for effective and efficient malaria control strategy. Methods A descriptive ecological study was conducted by reviewing health service records at Abobo district health office. The records were reviewed to extract data on malaria morbidity, mortality, and prevention and control methods. Moreover, Meteorological data were obtained from Gambella region Meteorology Service Center and National Meteorology Authority head office. Univariate, bivariate and multivariate analysis techniques were used to analyze the data. Results For the twelve-year time period, the mean annual total malaria case count in the district was 7369.58. The peak monthly malaria incidence was about 57 cases per 1000 people. Only in 2009 and 2015 that zero death due to malaria was recorded over the past 12 years. Fluctuating pattern of impatient malaria cases occurrence was seen over the past twelve years with an average number of 225.5 inpatient cases. The data showed that there is a high burden of malaria in the district. Plasmodium falciparum (Pf) was a predominant parasite species in the district with the maximum percentage of about 90. There was no statistically significant association between season and total malaria case number (F3,8: 1.982, P:0.195). However, the inter-annual total case count difference was statistically significant (F11,132: 36.305, p < 0001). Total malaria case count had shown two months lagged carry on effect. Moreover, 3 months lagged humidity had significant positive effect on total malaria cases. Malaria prevention interventions and meteorological factors showed statistically significant association with total malaria cases. Conclusion Malaria was and will remain to be a major public health problem in the area. The social and economic impact of the disease on the local community is clearly pronounced as it is the leading cause of health facility visit and admission including the mortality associated with it. Scale up of effective interventions is quite important. Continuous monitoring of the performance of the vector control tools needs to be done.
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spelling doaj.art-8b91f5aee38c4f69ba182d7b149c6d732022-12-21T17:48:20ZengBMCBMC Public Health1471-24582022-01-0122111110.1186/s12889-022-12571-9Burden of malaria, impact of interventions and climate variability in Western Ethiopia: an area with large irrigation based farmingWerissaw Haileselassie0Daniel M. Parker1Behailu Taye2Randy E. David3Endalew Zemene4Ming-Chieh Lee5Daibin Zhong6Guofa Zhou7Tesfahun Alemu8Getnet Tadele9James W. Kazura10Cristian Koepfli11Wakgari Deressa12Delenasaw Yewhalaw13Guiyun Yan14School of Public Health, College of Health Sciences, Addis Ababa UniversityPopulation Health and Disease Prevention, College of Health Sciences, University of California at IrvineDepartment of Biology, Faculty of Natural and Computational Science, Mettu UniversityPopulation Health and Disease Prevention, College of Health Sciences, University of California at IrvineSchool of Medical Laboratory Sciences, Institute of Health, Jimma UniversityPopulation Health and Disease Prevention, College of Health Sciences, University of California at IrvinePopulation Health and Disease Prevention, College of Health Sciences, University of California at IrvinePopulation Health and Disease Prevention, College of Health Sciences, University of California at IrvineGambella Regional Meteorology Service CenterMalaria Prevention and Control Unit, Abobo District Health OfficeCenter for Global Health and Disease, Case Western Reserve UniversityDepartment of Biological Sciences 319 Galvin Life Sciences, Eck Institute for Global Health, University of Notre DameSchool of Public Health, College of Health Sciences, Addis Ababa UniversitySchool of Medical Laboratory Sciences, Institute of Health, Jimma UniversityPopulation Health and Disease Prevention, College of Health Sciences, University of California at IrvineAbstract Background Land use change has increasingly been expanding throughout the world in the past decades. It can have profound effects on the spatial and temporal distribution of vector borne diseases like malaria through ecological and habitat change. Understanding malaria disease occurrence and the impact of prevention interventions under this intense environmental modification is important for effective and efficient malaria control strategy. Methods A descriptive ecological study was conducted by reviewing health service records at Abobo district health office. The records were reviewed to extract data on malaria morbidity, mortality, and prevention and control methods. Moreover, Meteorological data were obtained from Gambella region Meteorology Service Center and National Meteorology Authority head office. Univariate, bivariate and multivariate analysis techniques were used to analyze the data. Results For the twelve-year time period, the mean annual total malaria case count in the district was 7369.58. The peak monthly malaria incidence was about 57 cases per 1000 people. Only in 2009 and 2015 that zero death due to malaria was recorded over the past 12 years. Fluctuating pattern of impatient malaria cases occurrence was seen over the past twelve years with an average number of 225.5 inpatient cases. The data showed that there is a high burden of malaria in the district. Plasmodium falciparum (Pf) was a predominant parasite species in the district with the maximum percentage of about 90. There was no statistically significant association between season and total malaria case number (F3,8: 1.982, P:0.195). However, the inter-annual total case count difference was statistically significant (F11,132: 36.305, p < 0001). Total malaria case count had shown two months lagged carry on effect. Moreover, 3 months lagged humidity had significant positive effect on total malaria cases. Malaria prevention interventions and meteorological factors showed statistically significant association with total malaria cases. Conclusion Malaria was and will remain to be a major public health problem in the area. The social and economic impact of the disease on the local community is clearly pronounced as it is the leading cause of health facility visit and admission including the mortality associated with it. Scale up of effective interventions is quite important. Continuous monitoring of the performance of the vector control tools needs to be done.https://doi.org/10.1186/s12889-022-12571-9Land use changeMalariaPrevention InterventionsEthiopia
spellingShingle Werissaw Haileselassie
Daniel M. Parker
Behailu Taye
Randy E. David
Endalew Zemene
Ming-Chieh Lee
Daibin Zhong
Guofa Zhou
Tesfahun Alemu
Getnet Tadele
James W. Kazura
Cristian Koepfli
Wakgari Deressa
Delenasaw Yewhalaw
Guiyun Yan
Burden of malaria, impact of interventions and climate variability in Western Ethiopia: an area with large irrigation based farming
BMC Public Health
Land use change
Malaria
Prevention Interventions
Ethiopia
title Burden of malaria, impact of interventions and climate variability in Western Ethiopia: an area with large irrigation based farming
title_full Burden of malaria, impact of interventions and climate variability in Western Ethiopia: an area with large irrigation based farming
title_fullStr Burden of malaria, impact of interventions and climate variability in Western Ethiopia: an area with large irrigation based farming
title_full_unstemmed Burden of malaria, impact of interventions and climate variability in Western Ethiopia: an area with large irrigation based farming
title_short Burden of malaria, impact of interventions and climate variability in Western Ethiopia: an area with large irrigation based farming
title_sort burden of malaria impact of interventions and climate variability in western ethiopia an area with large irrigation based farming
topic Land use change
Malaria
Prevention Interventions
Ethiopia
url https://doi.org/10.1186/s12889-022-12571-9
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