Malaria epidemics and interventions, Kenya, Burundi, southern Sudan, and Ethiopia, 1999-2004.
Quantitative data on the onset and evolution of malaria epidemics are scarce. We review case studies from recent African Plasmodium falciparum epidemics (Kisii and Gucha Districts, Kenya, 1999; Kayanza Province, Burundi, 2000-2001; Aweil East, southern Sudan, 2003; Gutten and Damot Gale, Ethiopia, 2...
| Main Authors: | , , , , , , |
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| Format: | Journal article |
| Language: | English |
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2006
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| _version_ | 1797090951928217600 |
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| author | Checchi, F Cox, J Balkan, S Tamrat, A Priotto, G Alberti, K Guthmann, J |
| author_facet | Checchi, F Cox, J Balkan, S Tamrat, A Priotto, G Alberti, K Guthmann, J |
| author_sort | Checchi, F |
| collection | OXFORD |
| description | Quantitative data on the onset and evolution of malaria epidemics are scarce. We review case studies from recent African Plasmodium falciparum epidemics (Kisii and Gucha Districts, Kenya, 1999; Kayanza Province, Burundi, 2000-2001; Aweil East, southern Sudan, 2003; Gutten and Damot Gale, Ethiopia, 2003-2004). We highlight possible epidemic risk factors and review delays in epidemic detection and response (up to 20 weeks), essentially due to poor case reporting and analysis or low use of public facilities. Epidemics lasted 15-36 weeks, and patients' age profiles suggested departures from classical notions of epidemic malaria everywhere but Burundi. Although emergency interventions were mounted to expand inpatient and outpatient treatment access, we believe their effects were lessened because of delays, insufficient evaluation of disease burden, lack of evidence on how to increase treatment coverage in emergencies, and use of ineffective drugs. |
| first_indexed | 2024-03-07T03:26:03Z |
| format | Journal article |
| id | oxford-uuid:b91195bc-45af-46d6-ac1f-f62b04f8cc0c |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T03:26:03Z |
| publishDate | 2006 |
| record_format | dspace |
| spelling | oxford-uuid:b91195bc-45af-46d6-ac1f-f62b04f8cc0c2022-03-27T05:00:25ZMalaria epidemics and interventions, Kenya, Burundi, southern Sudan, and Ethiopia, 1999-2004.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b91195bc-45af-46d6-ac1f-f62b04f8cc0cEnglishSymplectic Elements at Oxford2006Checchi, FCox, JBalkan, STamrat, APriotto, GAlberti, KGuthmann, JQuantitative data on the onset and evolution of malaria epidemics are scarce. We review case studies from recent African Plasmodium falciparum epidemics (Kisii and Gucha Districts, Kenya, 1999; Kayanza Province, Burundi, 2000-2001; Aweil East, southern Sudan, 2003; Gutten and Damot Gale, Ethiopia, 2003-2004). We highlight possible epidemic risk factors and review delays in epidemic detection and response (up to 20 weeks), essentially due to poor case reporting and analysis or low use of public facilities. Epidemics lasted 15-36 weeks, and patients' age profiles suggested departures from classical notions of epidemic malaria everywhere but Burundi. Although emergency interventions were mounted to expand inpatient and outpatient treatment access, we believe their effects were lessened because of delays, insufficient evaluation of disease burden, lack of evidence on how to increase treatment coverage in emergencies, and use of ineffective drugs. |
| spellingShingle | Checchi, F Cox, J Balkan, S Tamrat, A Priotto, G Alberti, K Guthmann, J Malaria epidemics and interventions, Kenya, Burundi, southern Sudan, and Ethiopia, 1999-2004. |
| title | Malaria epidemics and interventions, Kenya, Burundi, southern Sudan, and Ethiopia, 1999-2004. |
| title_full | Malaria epidemics and interventions, Kenya, Burundi, southern Sudan, and Ethiopia, 1999-2004. |
| title_fullStr | Malaria epidemics and interventions, Kenya, Burundi, southern Sudan, and Ethiopia, 1999-2004. |
| title_full_unstemmed | Malaria epidemics and interventions, Kenya, Burundi, southern Sudan, and Ethiopia, 1999-2004. |
| title_short | Malaria epidemics and interventions, Kenya, Burundi, southern Sudan, and Ethiopia, 1999-2004. |
| title_sort | malaria epidemics and interventions kenya burundi southern sudan and ethiopia 1999 2004 |
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