1921
Volume 71, Issue 2_suppl
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Kinshasa, the capital of the Democratic Republic of the Congo, has been a perennial malarious area and has grown almost 14 times from 380,000 people in 1960 to 5,293,000 in 2003. The most complete information on malaria prevalence in Kinshasa was first acquired in 1981–1983. Blood smears were obtained from 25,135 children (ages 5–15 years) from 245 schools in 16 of 24 zones. The mean parasite rate was 17%; the parasite rate was similar for both sexes and was higher ( < 0.001) in older students. The parasite rate varied from 4% (urban zone) to 46% (peri-urban zone). An infant survey confirmed malaria transmission. During the Roll Back Malaria situational analysis in 2000, malaria prevalence was reassessed by the National Malaria Control Program and its partners in schools from selected health zones. A mean parasite rate of 34% was found among school children 5–9 years old. The parasite rate varied from 14% (central urban zone) to 65% (peri urban zone). was not the only species found, but accounted for more than 97% of the infections. Malaria incidence may have increased in Kinshasa during the last two decades due to difficulties in provision of control and prevention measures. Along with deployment of insecticide-treated bed nets and improved patient management, currently ongoing, other measures that could impact the disease are being considered, including vector control, water management, and proper urban planning.

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2004-08-01
2017-09-20
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References

  1. Pampana E, 1963. A Textbook of Malaria Eradication. New York: Oxford University Press, 4.
  2. Schliessmann DJ, Joseph VR, Solis M, Carmichael GT, 1973. Drainage and larviciding for control of a malaria focus in Haiti. Mosq News 33 : 371–378.
  3. Hyma B, Ramesh A, Chakrapani KP, 1983. Urban malaria control situation and environmental issues, Madras City, India. Ecol Dis 2 : 321–335.
  4. Vercruysse J, Jancloes M, van de Velden L, 1983. Epidemiology of seasonal falciparum malaria in an urban area of Senegal. Bull World Health Organ 61 : 821–831.
  5. Trape JF, 1987. Malaria and urbanization in central Africa: the example of Brazzaville. Part. I. Description of the town and review of previous surveys. Trans R Soc Trop Med Hyg 81 (Suppl 2): 1–9.
  6. Wilson DB, 1949. Malaria incidence in central and South Africa. Boyd, MF, ed. Malariology. Volume 2. Philadelphia: W. B. Saunders Company, 800–809.
  7. Ward RA, 1977. Recent changes in the epidemiology of malaria relating to human ecology. Proceedings of the 15th International Congress of Entomology. Washington, DC, August 19–22, 1976. New York: Plenum Press, 523–529.
  8. Brooks GD, Shisler JK, 1980. The Feasibility of and Recommendation for Anti-Larval Measures Against Vector Anophelines in Zaire. A Report of the American Public Health Association, International Health Programs. Washington, DC: American Public Health Association. Assignment Number 583036.
  9. van Hoof L, 1925. Le paludisme dans la region de Lepoldville. Epidemiologie, prophylaxie. Ann Soc Belg Med Trop 5 : 79–91.
  10. Peel E, van Hoof L, 1948. Le paludisme a la maternite indigene de Leopoldville. Ann Soc Belg Med Trop 18 : 413–420.
  11. Kageruka P, Kazyumba L, Tackaert MC, Lokombe B, 1979. Enquete sero-parasitologique du paludisme a Kinshasa. Med Afr Noire 26 : 53–62.
  12. Ngimbi NP, Beckers A, Wery M, 1982. Apercu de la situation epidemiologique du paludisme a Kinshasa (Republique du Zaire) en 1980. Ann Soc Belg Med Trop 62 : 121–137.
  13. Nguyen-Dinh P, Schwartz IK, Sexton JD, Bomboto E, Botom-wito B, Kalisa R, Ngimbi NP, Wery M, 1985. In vivo and in vitro susceptibility to chloroquine of Plasmodium falciparum in Kinshasa and Mbuji-Mayi, Zaire. Bull World Health Organ 63 : 325–330.
  14. Mulumba MP, Wery M, Ngimbi NP, Paluku K, van der Stuyft P, DeMuynck A, 1990. Childhood malaria in Kinshasa (Zaire). Influence of seasons, age, environment, and family social conditions. Med Trop (Mars) 50 : 53–64.
  15. Kazadi WM, Vong S, Makina BN, Mantshumba JC, Kabuya W, Kebela BI, Ngimbi NP, 2003. Assessing the efficacy of chloroquine and sulfadoxine-pyrimethamine for treatment of uncomplicated Plasmodium falciparum malaria in the Democratic Republic of Congo. Trop Med Int Health 8 : 868–875.
  16. Trape JF, 1987b. Malaria and urbanization in Central Africa: the example of Brazzaville. Part IV: Parasitological and serological surveys in urban and surrounding rural areas. Trans R SocTrop Med Hyg 81 (Suppl 2): 27–33.
  17. Trape JF, Zoulani A, 1987. Malaria and urbanization in Central Africa: the example of Brazzaville. Part III. Relationships between urbanization and the intensity of malaria transmission. Trans R Soc Trop Med Hyg 81 (Suppl 2): 19–25.
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  • Received : 11 Sep 2003
  • Accepted : 01 Mar 2004

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