Increase in cases of malaria in Mozambique, 2014: epidemic or new endemic pattern?

ABSTRACT OBJECTIVE To describe the increase in cases of malaria in Mozambique. METHODS Cross-sectional study conducted in 2014, in Mozambique with national weekly epidemiological bulletin data. I analyzed the number of recorded cases in the 2009-2013 period, which led to the creation of an endem...

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Main Author: Jorge Alexandre Harrison Arroz
Format: Article
Language:English
Published: Universidade de São Paulo 2016-01-01
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102016000200203&lng=en&tlng=en
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author Jorge Alexandre Harrison Arroz
author_facet Jorge Alexandre Harrison Arroz
author_sort Jorge Alexandre Harrison Arroz
collection DOAJ
description ABSTRACT OBJECTIVE To describe the increase in cases of malaria in Mozambique. METHODS Cross-sectional study conducted in 2014, in Mozambique with national weekly epidemiological bulletin data. I analyzed the number of recorded cases in the 2009-2013 period, which led to the creation of an endemic channel using the quartile and C-Sum methods. Monthly incidence rates were calculated for the first half of 2014, making it possible to determine the pattern of endemicity. Months in which the incidence rates exceeded the third quartile or line C-sum were declared as epidemic months. RESULTS The provinces of Nampula, Zambezia, Sofala, and Inhambane accounted for 52.7% of all cases in the first half of 2014. Also during this period, the provinces of Nampula, Sofala and Tete were responsible for 54.9% of the deaths from malaria. The incidence rates of malaria in children, and in all ages, have showed patterns in the epidemic zone. For all ages, the incidence rate has peaked in April (2,573 cases/100,000 inhabitants). CONCLUSIONS The results suggest the occurrence of an epidemic pattern of malaria in the first half of 2014 in Mozambique. It is strategic to have a more accurate surveillance at all levels (central, provincial and district) to target prevention and control interventions in a timely manner.
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spelling doaj.art-b855afd43f4543619ebbfbdaeecdcb9a2022-12-22T03:45:46ZengUniversidade de São PauloRevista de Saúde Pública1518-87872016-01-0150010.1590/S1518-8787.2016050006105S0034-89102016000200203Increase in cases of malaria in Mozambique, 2014: epidemic or new endemic pattern?Jorge Alexandre Harrison ArrozABSTRACT OBJECTIVE To describe the increase in cases of malaria in Mozambique. METHODS Cross-sectional study conducted in 2014, in Mozambique with national weekly epidemiological bulletin data. I analyzed the number of recorded cases in the 2009-2013 period, which led to the creation of an endemic channel using the quartile and C-Sum methods. Monthly incidence rates were calculated for the first half of 2014, making it possible to determine the pattern of endemicity. Months in which the incidence rates exceeded the third quartile or line C-sum were declared as epidemic months. RESULTS The provinces of Nampula, Zambezia, Sofala, and Inhambane accounted for 52.7% of all cases in the first half of 2014. Also during this period, the provinces of Nampula, Sofala and Tete were responsible for 54.9% of the deaths from malaria. The incidence rates of malaria in children, and in all ages, have showed patterns in the epidemic zone. For all ages, the incidence rate has peaked in April (2,573 cases/100,000 inhabitants). CONCLUSIONS The results suggest the occurrence of an epidemic pattern of malaria in the first half of 2014 in Mozambique. It is strategic to have a more accurate surveillance at all levels (central, provincial and district) to target prevention and control interventions in a timely manner.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102016000200203&lng=en&tlng=enMalária, epidemiologiaDoenças EndêmicasAnálise EspacialVigilância EpidemiológicaEstudos Transversais
spellingShingle Jorge Alexandre Harrison Arroz
Increase in cases of malaria in Mozambique, 2014: epidemic or new endemic pattern?
Revista de Saúde Pública
Malária, epidemiologia
Doenças Endêmicas
Análise Espacial
Vigilância Epidemiológica
Estudos Transversais
title Increase in cases of malaria in Mozambique, 2014: epidemic or new endemic pattern?
title_full Increase in cases of malaria in Mozambique, 2014: epidemic or new endemic pattern?
title_fullStr Increase in cases of malaria in Mozambique, 2014: epidemic or new endemic pattern?
title_full_unstemmed Increase in cases of malaria in Mozambique, 2014: epidemic or new endemic pattern?
title_short Increase in cases of malaria in Mozambique, 2014: epidemic or new endemic pattern?
title_sort increase in cases of malaria in mozambique 2014 epidemic or new endemic pattern
topic Malária, epidemiologia
Doenças Endêmicas
Análise Espacial
Vigilância Epidemiológica
Estudos Transversais
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102016000200203&lng=en&tlng=en
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