Travel history and malaria infection risk in a low-transmission setting in Ethiopia: a case control study

<p>Abstract</p> <p>Background</p> <p>Malaria remains the leading communicable disease in Ethiopia, with around one million clinical cases of malaria reported annually. The country currently has plans for elimination for specific geographic areas of the country. Human mo...

Full description

Bibliographic Details
Main Authors: Yukich Joshua O, Taylor Cameron, Eisele Thomas P, Reithinger Richard, Nauhassenay Honelgn, Berhane Yemane, Keating Joseph
Format: Article
Language:English
Published: BMC 2013-01-01
Series:Malaria Journal
Subjects:
Online Access:http://www.malariajournal.com/content/12/1/33
_version_ 1811294641387995136
author Yukich Joshua O
Taylor Cameron
Eisele Thomas P
Reithinger Richard
Nauhassenay Honelgn
Berhane Yemane
Keating Joseph
author_facet Yukich Joshua O
Taylor Cameron
Eisele Thomas P
Reithinger Richard
Nauhassenay Honelgn
Berhane Yemane
Keating Joseph
author_sort Yukich Joshua O
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Malaria remains the leading communicable disease in Ethiopia, with around one million clinical cases of malaria reported annually. The country currently has plans for elimination for specific geographic areas of the country. Human movement may lead to the maintenance of reservoirs of infection, complicating attempts to eliminate malaria.</p> <p>Methods</p> <p>An unmatched case–control study was conducted with 560 adult patients at a Health Centre in central Ethiopia. Patients who received a malaria test were interviewed regarding their recent travel histories. Bivariate and multivariate analyses were conducted to determine if reported travel outside of the home village within the last month was related to malaria infection status.</p> <p>Results</p> <p>After adjusting for several known confounding factors, travel away from the home village in the last 30 days was a statistically significant risk factor for infection with <it>Plasmodium falciparum</it> (AOR 1.76; <it>p</it>=0.03) but not for infection with <it>Plasmodium vivax</it> (AOR 1.17; <it>p</it>=0.62). Male sex was strongly associated with any malaria infection (AOR 2.00; <it>p</it>=0.001).</p> <p>Conclusions</p> <p>Given the importance of identifying reservoir infections, consideration of human movement patterns should factor into decisions regarding elimination and disease prevention, especially when targeted areas are limited to regions within a country.</p>
first_indexed 2024-04-13T05:20:28Z
format Article
id doaj.art-a3c321be42de4811811294e4f59714df
institution Directory Open Access Journal
issn 1475-2875
language English
last_indexed 2024-04-13T05:20:28Z
publishDate 2013-01-01
publisher BMC
record_format Article
series Malaria Journal
spelling doaj.art-a3c321be42de4811811294e4f59714df2022-12-22T03:00:47ZengBMCMalaria Journal1475-28752013-01-011213310.1186/1475-2875-12-33Travel history and malaria infection risk in a low-transmission setting in Ethiopia: a case control studyYukich Joshua OTaylor CameronEisele Thomas PReithinger RichardNauhassenay HonelgnBerhane YemaneKeating Joseph<p>Abstract</p> <p>Background</p> <p>Malaria remains the leading communicable disease in Ethiopia, with around one million clinical cases of malaria reported annually. The country currently has plans for elimination for specific geographic areas of the country. Human movement may lead to the maintenance of reservoirs of infection, complicating attempts to eliminate malaria.</p> <p>Methods</p> <p>An unmatched case–control study was conducted with 560 adult patients at a Health Centre in central Ethiopia. Patients who received a malaria test were interviewed regarding their recent travel histories. Bivariate and multivariate analyses were conducted to determine if reported travel outside of the home village within the last month was related to malaria infection status.</p> <p>Results</p> <p>After adjusting for several known confounding factors, travel away from the home village in the last 30 days was a statistically significant risk factor for infection with <it>Plasmodium falciparum</it> (AOR 1.76; <it>p</it>=0.03) but not for infection with <it>Plasmodium vivax</it> (AOR 1.17; <it>p</it>=0.62). Male sex was strongly associated with any malaria infection (AOR 2.00; <it>p</it>=0.001).</p> <p>Conclusions</p> <p>Given the importance of identifying reservoir infections, consideration of human movement patterns should factor into decisions regarding elimination and disease prevention, especially when targeted areas are limited to regions within a country.</p>http://www.malariajournal.com/content/12/1/33MalariaTravelHuman movementImportation<it>Plasmodium vivax</it><it>Plasmodium falciparum</it>EthiopiaReservoir infection
spellingShingle Yukich Joshua O
Taylor Cameron
Eisele Thomas P
Reithinger Richard
Nauhassenay Honelgn
Berhane Yemane
Keating Joseph
Travel history and malaria infection risk in a low-transmission setting in Ethiopia: a case control study
Malaria Journal
Malaria
Travel
Human movement
Importation
<it>Plasmodium vivax</it>
<it>Plasmodium falciparum</it>
Ethiopia
Reservoir infection
title Travel history and malaria infection risk in a low-transmission setting in Ethiopia: a case control study
title_full Travel history and malaria infection risk in a low-transmission setting in Ethiopia: a case control study
title_fullStr Travel history and malaria infection risk in a low-transmission setting in Ethiopia: a case control study
title_full_unstemmed Travel history and malaria infection risk in a low-transmission setting in Ethiopia: a case control study
title_short Travel history and malaria infection risk in a low-transmission setting in Ethiopia: a case control study
title_sort travel history and malaria infection risk in a low transmission setting in ethiopia a case control study
topic Malaria
Travel
Human movement
Importation
<it>Plasmodium vivax</it>
<it>Plasmodium falciparum</it>
Ethiopia
Reservoir infection
url http://www.malariajournal.com/content/12/1/33
work_keys_str_mv AT yukichjoshuao travelhistoryandmalariainfectionriskinalowtransmissionsettinginethiopiaacasecontrolstudy
AT taylorcameron travelhistoryandmalariainfectionriskinalowtransmissionsettinginethiopiaacasecontrolstudy
AT eiselethomasp travelhistoryandmalariainfectionriskinalowtransmissionsettinginethiopiaacasecontrolstudy
AT reithingerrichard travelhistoryandmalariainfectionriskinalowtransmissionsettinginethiopiaacasecontrolstudy
AT nauhassenayhonelgn travelhistoryandmalariainfectionriskinalowtransmissionsettinginethiopiaacasecontrolstudy
AT berhaneyemane travelhistoryandmalariainfectionriskinalowtransmissionsettinginethiopiaacasecontrolstudy
AT keatingjoseph travelhistoryandmalariainfectionriskinalowtransmissionsettinginethiopiaacasecontrolstudy