Sahel, savana, riverine and urban malaria in West Africa: Similar control policies with different outcomes

Autor: Tinzana F. Coulibaly, Davis Nwakanma, Lassana Konate, Seydou Doumbia, Ousmane Faye, Nafomon Sogoba, Moussa Keita, Musa Jawara, Mamadou B. Coulibaly, Belco Poudiougou, Jean Louis Ndiaye, Kalifa Bojang, Mahamadou Diakite, Sarah K. Volkman, Carole A. Long, Ismaela Abubakar, Lansana Sangaré, Ousmane Koita, Clarissa Valim, Sekou F. Traore, Ayouba Diarra, Aliou Sissako, Ngayo Sy, Babacar Faye, Robert T. Perry, Dyann F. Wirth, Oumar Gaye, Manoj T. Duraisingh, Sory I. Diawara, Balla Kandeh, Ousmane Sarr, Marc A. T. Muskavitch, David J. Conway, Daouda Ndiaye, Donald J. Krogstad, Rick M. Fairhurst, Adama Dao, Serign J. Ceesay, Joseph Okebe
Rok vydání: 2011
Předmět:
Zdroj: Acta tropica. 121(3)
ISSN: 1873-6254
Popis: The study sites for the West African ICEMR are in three countries (The Gambia, Senegal, Mali) and are located within 750 km of each other. In addition, the National Malaria Control Programmes of these countries have virtually identical policies: (1) Artemisinin Combination Therapies (ACTs) for the treatment of symptomatic Plasmodium falciparum infection, (2) Long-Lasting Insecticide-treated bed Nets (LLINs) to reduce the Entomololgic Inoculation Rate (EIR), and (3) sulfadoxine-pyrimethamine for the Intermittent Preventive Treatment of malaria during pregnancy (IPTp). However, the prevalence of P. falciparum malaria and the status of malaria control vary markedly across the four sites with differences in the duration of the transmission season (from 4-5 to 10-11 months), the intensity of transmission (with EIRs from unmeasurably low to 4-5 per person per month), multiplicity of infection (from a mean of 1.0 to means of 2-5) and the status of malaria control (from areas which have virtually no control to areas that are at the threshold of malaria elimination). The most important priority is the need to obtain comparable data on the population-based prevalence, incidence and transmission of malaria before new candidate interventions or combinations of interventions are introduced for malaria control.
Databáze: OpenAIRE