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Am. J. Trop. Med. Hyg., 75(2), 2006, pp. 219-225
Copyright © 2006 by The American Society of Tropical Medicine and Hygiene

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VARIATION IN MALARIA TRANSMISSION INTENSITY IN SEVEN SITES THROUGHOUT UGANDA

PAUL EDWARD OKELLO, WIM VAN BORTEL, ANATOL MARANDA BYARUHANGA, ANNE CORREWYN, PATRICIA ROELANTS, AMBROSE TALISUNA, UMBERTO D’ALESSANDRO, AND MARC COOSEMANS*
Epidemiological Surveillance Division, Ministry of Health, Kampala, Uganda; Department of Parasitology, Prince Leopold Institute of Tropical Medicine, Antwerp, Belgium; School of Medical Entomology in Kampala, Uganda

Knowledge of the baseline malaria transmission in a given environment is important to guide malaria control interventions. However, in Uganda, recent information on malaria transmission intensity is lacking. Therefore, a 1-year entomological study was conducted in seven ecologically different sites throughout the country to assess spatial and temporal patterns in malaria transmission intensity. Anopheles gambiae sensu stricto was the main vector in five of the seven study sites, and An. funestus was the most important vector in the two other sites. In a peri-urban village, An. arabiensis contributed substantially to malaria transmission. Clear differences in annual entomological inoculation rates (AEIR) were observed between the study sites, ranging from 4 infective bites per person per year in the southwestern part of the country to >1,500 infective bites per person per year in a swampy area near the Nile River. Between villages with parasite prevalences of ≥ 80% in children between 1 and 9 years old, a 4-fold difference in AEIR was observed. Based on the observed behavior of the vectors, insecticide-treated bed nets will be highly effective in controlling malaria. However, in the high transmission areas, additional measures will be needed to reduce the malaria burden to acceptable levels.


Received February 2, 2006. Accepted for publication April 14, 2006.

Acknowledgments: The authors thank the Ministry of Health of Uganda for facilitating this research. We are grateful to the School of Medical Entomology in Kampala, Uganda, for the excellent entomological work and R. De Deken for drawing the map of Uganda.

Financial support: This research was financed by the Belgian Directorate-General for Development Co-operation.

* Address correspondence to Marc Coosemans, Department of Parasitology, Prince Leopold Institute of Tropical Medicine, Nationalestraat 155, B-2000 Antwerpen, Belgium. E-mail: mcoosemans{at}itg.be

Authors’ addresses: Paul Edward Okello, PO Box 33861, Kampala, Uganda, E-mail: okellopaul2000{at}yahoo.co.uk. Wim Van Bortel, Anne Correwyn, Patricia Roelants, Umberto D’Alessandro, and Marc Coosemans, Department of Parasitology, Prince Leopold Institute of Tropical Medicine, Nationalestraat 155, B-2000 Antwerpen, Belgium, E-mail: wvbortel{at}itg.be, udalessandro{at}itg.be, mcoosemans{at}itg.be. Anatol Maranda Byaruhanga, School of Medical Entomology and Parasitology, PO Box 1661, Kampala, Uganda. Ambrose Talisuna, Health Services, Epidemiology and Surveillance, Ministry of Health, PO Box 7272, Kampala, Uganda, E-mail: atalisuna{at}yahoo.com.




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