Associations of peak shifts in age--prevalence for human malarias with bednet coverage

Details

Serval ID
serval:BIB_F11691438BFA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Associations of peak shifts in age--prevalence for human malarias with bednet coverage
Journal
Transactions of the Royal Society of Tropical Medicine and Hygiène
Author(s)
Smith  T., Hii  J. L., Genton  B., Muller  I., Booth  M., Gibson  N., Narara  A., Alpers  M. P.
ISSN
0035-9203 (Print)
Publication state
Published
Issued date
02/2001
Volume
95
Number
1
Pages
1-6
Notes
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S. --- Old month value: Jan-Feb
Abstract
Effects of bednet coverage (C) on prevalence of malaria were analysed using data from 1990-92 from 9 Papua New Guinean villages. Effects of coverage varied by age, resulting in a shift in age of peak prevalence from 4.7 (C = 0%) to 11.6 (C = 100%) years for Plasmodium falciparum, from 3.4 to 4.9 years for P. vivax and from 11.0 to 16.8 years for P. malariae. In small areas with no bednets the age distribution of P. falciparum parasitaemia was like that of a holoendemic area. Where coverage was complete the pattern corresponded to mesoendemicity. Thus, protracted use of bednets can result in profound changes in the endemicity of malaria even when coverage is incomplete and without insecticide treatment. Average entomological inoculation rates (EIRs) estimated from indoor landing rates on individuals without bednets were 35, 12 and 10 infectious bites per person per annum for P. falciparum, P. vivax and P. malariae, respectively. Logistic regression analyses indicated that the EIR estimate for P. falciparum was related to prevalence of this species independently of effects of bednet coverage. However, the recent EIR still accounted for much less variation than did the bednets. A similar pattern was seen for P. malariae, while there were no significant relationships between the recent EIR and the parasite positivity for P. vivax. It is concluded that short-term variations in inoculation rate are not important determinants of parasite prevalence in this population.
Keywords
Adolescent Age Distribution Animals *Bedding and Linens Child Child, Preschool Enzyme-Linked Immunosorbent Assay Humans Logistic Models Malaria/epidemiology/*prevention & control Malaria, Falciparum/epidemiology/prevention & control Malaria, Vivax/epidemiology/prevention & control Mosquito Control/methods Papua New Guinea/epidemiology Plasmodium falciparum Plasmodium malariae Plasmodium vivax Prevalence
Pubmed
Web of science
Create date
28/01/2008 12:48
Last modification date
20/08/2019 17:18
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