Details:

Alternative Title:
Am J Trop Med Hyg
Publisher's site:
http://dx.doi.org/10.4269/ajtmh.13-0028
Personal Author:
Bennett, Adam ; Kazembe, Lawrence ; Mathanga, Don P. ; Kinyoki, Damaris ; Ali, Doreen ; ... More +
Bennett, Adam ; Kazembe, Lawrence ; Mathanga, Don P. ; Kinyoki, Damaris ; Ali, Doreen ; Snow, Robert W. ; Noor, Abdisalan M. Less -
Description:
Substantial development assistance has been directed towards reducing the high malaria burden in Malawi over the past decade. We assessed changes in transmission over this period of malaria control scale-up by compiling community Plasmodium falciparum rate (PfPR) data during 2000-2011 and used model-based geostatistical methods to predict mean PfPR2-10 in 2000, 2005, and 2010. In addition, we calculated population-adjusted prevalences and populations at risk by district to inform malaria control program priority setting. The national population-adjusted PfPR2-10 was 37% in 2010, and we found no evidence of change over this period of scale-up. The entire population of Malawi is under meso-endemic transmission risk, with those in districts along the shore of Lake Malawi and Shire River Valley under highest risk. The lack of change in prevalence confirms modeling predictions that when compared with lower transmission, prevalence reductions in high transmission settings require greater investment and longer time scales.
Subject:
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Articles
Endemic Diseases
Geography, Medical
Humans
Malaria, Falciparum
Models, Statistical
Plasmodium Falciparum
Prevalence
Risk Factors
Time Factors

Source:
Am J Trop Med Hyg. 2013; 89(5):840-849.
Document Type:
Journal Article
Funding:
079080/Wellcome Trust/United Kingdom ; 095127/Wellcome Trust/United Kingdom ; 5 UI CI000189/CI/NCPDCID CDC HHS/United States
079080/Wellcome Trust/United Kingdom ; 095127/Wellcome Trust/United Kingdom ; 5 UI CI000189/CI/NCPDCID CDC HHS/United States Less -
Place as Subject:
Malawi
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:bb77cc653c089ba0d927954dfc7608a3b21c1227853a96f587115f0ca31636cc
File Type:

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