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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Evidence of decline of malaria in the general hospital of Libreville, Gabon from 2000 to 2008
Malaria Journal, Volume 8, No. 1, Article 300, Year 2009
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Description
Background. Substantial decline in malaria transmission, morbidity and mortality has been reported in several countries where new malaria control strategies have been implemented. In Gabon, the national malaria policy changed in 2003, according to the WHO recommendations. The trend in malaria morbidity was evaluated among febrile children before and after their implementation in Libreville, the capital city of Gabon. Methods. From August 2000 to December 2008, febrile paediatric outpatients and inpatients, under 11 years of age, were screened for malaria by microscopic examination at the Malaria Clinical Research Unit (MCRU) located in the largest public hospital in Gabon. Climatic data were also collected. Results. In total, 28,092 febrile children were examined; those under five years always represented more than 70%. The proportion of malaria-positive slides was 45% in 2000, and declined to 15% in 2008. The median age of children with a positive blood smear increased from 24(15-48) to 41(21-72) months over the study period (p < 0.01). Rainfall patterns had no impact on the decline observed throughout the study period. Conclusion. The decrease of malaria prevalence among febrile children during the last nine years is observed following the introduction of new strategies of malaria cases management, and may announce epidemiological changes. Moreover, preventive measures must be extended to children older than five years. © 2009 Bouyou-Akotet et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Bouyou-Akotet, Marielle Karine
Gabon, Libreville
Universite Des Sciences de la Sante Liberville
Gabon, Libreville
Centre Hospitalier de Libreville
Mawili-Mboumba, Dénise Patricia
Gabon, Libreville
Universite Des Sciences de la Sante Liberville
Kendjo, Éric
Gabon, Libreville
Universite Des Sciences de la Sante Liberville
Germany, Tubingen
Eberhard Karls Universität Tübingen
Mabika Mamfoumbi, M.
Gabon, Libreville
Universite Des Sciences de la Sante Liberville
Gabon, Libreville
Centre Hospitalier de Libreville
Ngoungou, Edgard Brice
Gabon, Libreville
Universite Des Sciences de la Sante Liberville
Gabon, Libreville
Centre Hospitalier de Libreville
Dzeing-Ella, Arnaud
Gabon, Libreville
Centre Hospitalier de Libreville
Pemba-Mihindou, Mireille
Gabon, Libreville
Centre Hospitalier de Libreville
Ibinga, Euloge
Gabon, Libreville
Universite Des Sciences de la Sante Liberville
Gabon, Libreville
Centre Hospitalier de Libreville
Efame-Eya, Emmanuel
Gabon, Libreville
Centre Hospitalier de Libreville
Planche, Tim David
United Kingdom, London
St George’s, University of London
Kremsner, Peter G.
Gabon, Lambarene
Unité de Recherche Médicale, Albert Schweitzer Hospital
Germany, Tubingen
Eberhard Karls Universität Tübingen
Kombila, Maryvonne Y.
Gabon, Libreville
Universite Des Sciences de la Sante Liberville
Gabon, Libreville
Centre Hospitalier de Libreville
Statistics
Citations: 78
Authors: 12
Affiliations: 5
Identifiers
Doi:
10.1186/1475-2875-8-300
e-ISSN:
14752875
Research Areas
Environmental
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Locations
Gabon