Details:

Alternative Title:
Emerg Infect Dis
Personal Author:
Checchi, Francesco; Cox, Jonathan; Balkan, Suna; Tamrat, Abiy; Priotto, Gerardo; ... More +
Checchi, Francesco; Cox, Jonathan; Balkan, Suna; Tamrat, Abiy; Priotto, Gerardo; Alberti, Kathryn P.; Zurovac, Dejan; Guthmann, Jean-Paul; Less -
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.
Subject:
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Adolescent
Adult
Aged
Aged, 80 And Over
Animals
Child
Child, Preschool
Disease Outbreaks
Female
Humans
Infant
Malaria, Falciparum
Male
Middle Aged
Perspective

Source:
Emerg Infect Dis. 12(10):1477-1485.;
Document Type:
Journal Article;
Place as Subject:
Kenya; Burundi; Sudan; Ethiopia;
Kenya; Burundi; Sudan; Ethiopia; Less -
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
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urn:sha256:d46d3d9a847864e2bbd36d3c981e67ceadb56b001fa4b88c5ce1584151ce1b35
File Type:

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