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...

Full description

Bibliographic Details
Main Authors: Shanks, G, Hay, S, Bradley, D
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