Continuing intense malaria transmission in northern Uganda.


Proietti, C; Pettinato, DD; Kanoi, BN; Ntege, E; Crisanti, A; Riley, EM; Egwang, TG; Drakeley, C; Bousema, T; (2011) Continuing intense malaria transmission in northern Uganda. The American journal of tropical medicine and hygiene, 84 (5). pp. 830-7. ISSN 0002-9637 DOI: https://doi.org/10.4269/ajtmh.2011.10-0498

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Abstract

Abstract. Recent reports of reductions in malaria transmission in several African countries have resulted in optimism that malaria can be eliminated in parts of Africa where it is currently endemic. It is not known whether these trends are global or whether they are also present in areas where political instability has hindered effective malaria control. We determined malaria parasite carriage and age-dependent antibody responses to Plasmodium falciparum antigens in cross-sectional surveys in Apac, northern Uganda that was affected by political unrest. Under-five parasite prevalence was 55.8% (115/206) by microscopy and 71.9% (41/57) by polymerase chain reaction. Plasmodium ovale alone, or as a co-infection, was detected in 8.6% (12/139) and Plasmodium malariae in 4.3% (6/139) of the infections. Age seroprevalence curves gave no indication of recent changes in malaria transmission intensity. Malaria control remains a tremendous challenge in areas that have not benefited from large-scale interventions, illustrated here by the district of Apac.

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Immunology and Infection
Research Centre: Malaria Centre
PubMed ID: 21540398
Web of Science ID: 290365100029
URI: http://researchonline.lshtm.ac.uk/id/eprint/875

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