Significance of travel to rural areas as a risk factor for malarial anemia in an urban setting

Siri JG, Wilson ML, Murray S, Rosen DH, Vulule JM, Slutsker L, & Lindblade KA (2010). Significance of travel to rural areas as a risk factor for malarial anemia in an urban setting. American Journal of Tropical Medicine and Hygiene 82 (3): 391-397. DOI:10.4269/ajtmh.2010.09-0047.

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Abstract

The epidemiology of malaria in urban environments is poorly characterized, yet increasingly problematic. We conducted an unmatched casecontrol study of risk factors for malarial anemia with high parasitemia in urban Kisumu, Kenya, from June 2002 through February 2003. Cases (n = 80) were hospital patients with a hemoglobin level <= 8 g/deciliter and a Plasmodium parasite density >= 10,000/microliter. Controls (n = 826) were healthy respondents to a concurrent citywide knowledge, attitude, and practice survey. Children who reported spending at least one night per month in a rural area were especially at risk (35% of cases; odds ratio = 9.3, 95% confidence interval [CI] = 4.4-19.7, P < 0.0001), and use of mosquito coils, bed net ownership, and house construction were non-significant, potentially indicating that malaria exposure during rural travel comprises an important element of risk. Control of severe malaria in an urban setting may be complicated by Plasmodium infections acquired elsewhere. Epidemiologic studies of urban malaria in low transmission settings should take travel history into account.

Item Type: Article
Research Programs: Health and Global Change (HGC)
Postdoctoral Scholars (PDS)
Bibliographic Reference: American Journal of Tropical Medicine and Hygiene; 82(3):391-397 (March 2010)
Depositing User: IIASA Import
Date Deposited: 15 Jan 2016 08:44
Last Modified: 19 Feb 2016 10:49
URI: http://pure.iiasa.ac.at/9274

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