IMPACT OF PERMETHRIN-TREATED BED NETS ON THE INCIDENCE OF SICK CHILD VISITS TO PERIPHERAL HEALTH FACILITIES
| Autor: | Penelope A. Phillips-Howard, Feiko O. ter Kuile, Bernard L. Nahlen, John M. Vulule, Amos Odhacha, John E. Gimnig, Margarette S. Kolczak, Kris Olson, William A. Hawley, Jane Alaii, Kathleen Wannemuehler |
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| Přispěvatelé: | Other departments |
| Rok vydání: | 2003 |
| Předmět: |
Pediatrics
medicine.medical_specialty Respiratory tract infections business.industry Anemia Public health Incidence (epidemiology) medicine.disease law.invention Infectious Diseases Randomized controlled trial law Virology parasitic diseases Epidemiology Medicine Mosquito net Parasitology business Malaria |
| Zdroj: | American journal of tropical medicine and hygiene, 68(4 Suppl), 38-43. American Society of Tropical Medicine and Hygiene |
| ISSN: | 1476-1645 0002-9637 |
| Popis: | During a randomized controlled trial of insecticide (permethrin)-treated bed nets (ITNs) in an area with intense malaria transmission in western Kenya, we monitored 20,915 sick child visits (SCVs) by children less than five years of age visiting seven peripheral health facilities. The SCVs were monitored over a four-year period both before (1995-1996) and during the intervention (1997-1998). Results are used to estimate the effect of ITNs on the burden of malaria in this community and to evaluate the potential role of these facilities in assessment of the impact of large-scale public health interventions. Compared with baseline, a 27% greater reduction in the incidence of SCVs was seen in ITN villages than in control villages (37% versus 10%; P = 0.049). A similar reduction was observed in SCVs diagnosed as malaria (35% reduction in ITN villages versus 5% reduction in controls; P = 0.04). Two-hundred sixteen SCVs per 1,000 child-years were prevented; three-fourths of these were in children less than 24 months old. As a consequence of lack of laboratory facilities, severe anemia was rarely ( |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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