Abstract:
: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.
journal_name
Emerg Infect Disjournal_title
Emerging infectious diseasesauthors
Checchi F,Cox J,Balkan S,Tamrat A,Priotto G,Alberti KP,Guthmann JPdoi
10.3201/eid1210.060540subject
Has Abstractpub_date
2006-10-01 00:00:00pages
1477-85issue
10eissn
1080-6040issn
1080-6059journal_volume
12pub_type
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