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Am. J. Trop. Med. Hyg., 75(5), 2006, pp. 812-816
Copyright © 2006 by The American Society of Tropical Medicine and Hygiene

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EPIDEMIOLOGY OF MALARIA IN AN AREA OF LOW TRANSMISSION IN CENTRAL INDIA

NEERU SINGH*, S. K. CHAND, A. K. MISHRA, PRAVEEN K. BHARTI, M. P. SINGH, T. P. AHLUWALIA, AND A. P. DASH
National Institute of Malaria Research, Field Station, Jabalpur, Madhya Pradesh, India; Division of Reproductive Health and Nutrition, Indian Council of Medical Research, Ansari Nagar, New Delhi, India; National Institute of Malaria Research, Delhi, India

A longitudinal study on malaria was carried out from 2003 to 2005 in an area of unstable malaria in the Panna district in central India. Both Plasmodium vivax and P. falciparum were prevalent; however, the risk of P. falciparum malaria was 31.6% (95% confidence interval [CI] = 29.6–33.6%), which is four times higher compared with that of P. vivax malaria (7.8%, 95% CI = 6.7–9%). An increasing trend was recorded in malaria prevalence from 30.2% in 2003 to 46.6% in 2004 (odds ratio [OR] = 2.0, 95% CI = 1.6–2.5) that increased to 58.6% in 2005 (OR = 1.6, 95% CI = 1.2–2.1). This increase was statistically significant ({chi}2 = 120.5, degrees of freedom = 2, P < 0.0001). Anopheles culicifacies was the dominant vector of malaria and showed partial (< 50%) resistance to DDT, which indicated that DDT can still be used. Improved access to treatment facilities, combination therapy, and vector control appears to be the most promising method for controlling malaria in this region.

Received March 6, 2006. Accepted for publication June 8, 2006.

* Address correspondence to Neeru Singh, National Institute of Malaria Research, Field Station, RMRCT (ICMR) Complex, Nagpur Road, Garha, Jabalpur 482003 Madhya Pradesh, India. E-mail: neeru.singh{at}gmail.com

Authors’ addresses: Neeru Singh, S. K. Chand, A. K. Mishra, Praveen K. Bharti, M. P. Singh, National Institute of Malaria Research, Field Station, RMRCT (ICMR) Complex, Nagpur Road, Garha, Jabalpur 482003 Madhya Pradesh, India, Telephone: 91-761-267-2973, Fax: 91-761-267-2900, E-mail: neeru.singh{at}gmail.com. T. P. Ahluwalia, Division of Reproductive Health and Nutrition, Indian Council of Medical Research, Ansari Nagar, New Delhi, India, E-mail: tejpaul2002{at}yahoo.com. and A. P. Dash, National Institute of Malaria Research, 22 Sham Nath Marg, Delhi, India, E-mail: apdash2{at}rediffmail.com.




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K. RUNGSIHIRUNRAT, K. NA-BANGCHANG, V. N. HAWKINS, M. MUNGTHIN, and C. H. SIBLEY
SENSITIVITY TO ANTIFOLATES AND GENETIC ANALYSIS OF PLASMODIUM VIVAX ISOLATES FROM THAILAND
Am J Trop Med Hyg, June 1, 2007; 76(6): 1057 - 1065.
[Abstract] [Full Text] [PDF]


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Copyright © 2006 by the American Society of Tropical Medicine and Hygiene.