Malaria's indirect contribution to all-cause mortality in the Andaman Islands during the colonial era.
Malaria has a substantial secondary effect on other causes of mortality. From the 19th century, malaria epidemics in the Andaman Islands' penal colony were initiated by the brackish swamp-breeding malaria vector Anopheles sundaicus and fuelled by the importation of new prisoners. Malaria was a...
Main Authors: | , , |
---|---|
Format: | Journal article |
Language: | English |
Published: |
2008
|
_version_ | 1826288168336359424 |
---|---|
author | Shanks, G Hay, S Bradley, D |
author_facet | Shanks, G Hay, S Bradley, D |
author_sort | Shanks, G |
collection | OXFORD |
description | Malaria has a substantial secondary effect on other causes of mortality. From the 19th century, malaria epidemics in the Andaman Islands' penal colony were initiated by the brackish swamp-breeding malaria vector Anopheles sundaicus and fuelled by the importation of new prisoners. Malaria was a major determinant of the highly variable all-cause mortality rate (correlation coefficient r(2)=0.60, n=68, p<0.0001) from 1872 to 1939. Directly attributed malaria mortality based on post-mortem examinations rarely exceeded one-fifth of total mortality. Infectious diseases such as pneumonia, tuberculosis, dysentery, and diarrhoea, which combined with malaria made up the majority of all-cause mortality, were positively correlated with malaria incidence over several decades. Deaths secondary to malaria (indirect malaria mortality) were at least as great as mortality directly attributed to malaria infections. |
first_indexed | 2024-03-07T02:09:38Z |
format | Journal article |
id | oxford-uuid:a02d0fa9-b48f-4fcc-a2f3-0b022f68806c |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-07T02:09:38Z |
publishDate | 2008 |
record_format | dspace |
spelling | oxford-uuid:a02d0fa9-b48f-4fcc-a2f3-0b022f68806c2022-03-27T02:03:32ZMalaria's indirect contribution to all-cause mortality in the Andaman Islands during the colonial era.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:a02d0fa9-b48f-4fcc-a2f3-0b022f68806cEnglishSymplectic Elements at Oxford2008Shanks, GHay, SBradley, DMalaria has a substantial secondary effect on other causes of mortality. From the 19th century, malaria epidemics in the Andaman Islands' penal colony were initiated by the brackish swamp-breeding malaria vector Anopheles sundaicus and fuelled by the importation of new prisoners. Malaria was a major determinant of the highly variable all-cause mortality rate (correlation coefficient r(2)=0.60, n=68, p<0.0001) from 1872 to 1939. Directly attributed malaria mortality based on post-mortem examinations rarely exceeded one-fifth of total mortality. Infectious diseases such as pneumonia, tuberculosis, dysentery, and diarrhoea, which combined with malaria made up the majority of all-cause mortality, were positively correlated with malaria incidence over several decades. Deaths secondary to malaria (indirect malaria mortality) were at least as great as mortality directly attributed to malaria infections. |
spellingShingle | Shanks, G Hay, S Bradley, D Malaria's indirect contribution to all-cause mortality in the Andaman Islands during the colonial era. |
title | Malaria's indirect contribution to all-cause mortality in the Andaman Islands during the colonial era. |
title_full | Malaria's indirect contribution to all-cause mortality in the Andaman Islands during the colonial era. |
title_fullStr | Malaria's indirect contribution to all-cause mortality in the Andaman Islands during the colonial era. |
title_full_unstemmed | Malaria's indirect contribution to all-cause mortality in the Andaman Islands during the colonial era. |
title_short | Malaria's indirect contribution to all-cause mortality in the Andaman Islands during the colonial era. |
title_sort | malaria s indirect contribution to all cause mortality in the andaman islands during the colonial era |
work_keys_str_mv | AT shanksg malariasindirectcontributiontoallcausemortalityintheandamanislandsduringthecolonialera AT hays malariasindirectcontributiontoallcausemortalityintheandamanislandsduringthecolonialera AT bradleyd malariasindirectcontributiontoallcausemortalityintheandamanislandsduringthecolonialera |