The Matola Malaria Project: a Temporal and Spatial Study of Malaria Transmission and Disease in a Suburban Area of Maputo, Mozambique

Ricardo Thompson Department of Epidemiology Research, Danish Epidemiology Science Centre, Statens Serum Institut, Department of Blood Parasitology and Department of Immunology, National Institute of Health, Infection and Immunity Section, Department of Biology, Imperial College, Copenhagen, Denmark

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Kamilla Begtrup Department of Epidemiology Research, Danish Epidemiology Science Centre, Statens Serum Institut, Department of Blood Parasitology and Department of Immunology, National Institute of Health, Infection and Immunity Section, Department of Biology, Imperial College, Copenhagen, Denmark

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Nelson Cuamba Department of Epidemiology Research, Danish Epidemiology Science Centre, Statens Serum Institut, Department of Blood Parasitology and Department of Immunology, National Institute of Health, Infection and Immunity Section, Department of Biology, Imperial College, Copenhagen, Denmark

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Martinho Dgedge Department of Epidemiology Research, Danish Epidemiology Science Centre, Statens Serum Institut, Department of Blood Parasitology and Department of Immunology, National Institute of Health, Infection and Immunity Section, Department of Biology, Imperial College, Copenhagen, Denmark

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Chandana Mendis Department of Epidemiology Research, Danish Epidemiology Science Centre, Statens Serum Institut, Department of Blood Parasitology and Department of Immunology, National Institute of Health, Infection and Immunity Section, Department of Biology, Imperial College, Copenhagen, Denmark

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Asoka Gamage-Mendis Department of Epidemiology Research, Danish Epidemiology Science Centre, Statens Serum Institut, Department of Blood Parasitology and Department of Immunology, National Institute of Health, Infection and Immunity Section, Department of Biology, Imperial College, Copenhagen, Denmark

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Sonia M. Enosse Department of Epidemiology Research, Danish Epidemiology Science Centre, Statens Serum Institut, Department of Blood Parasitology and Department of Immunology, National Institute of Health, Infection and Immunity Section, Department of Biology, Imperial College, Copenhagen, Denmark

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Jorge Barreto Department of Epidemiology Research, Danish Epidemiology Science Centre, Statens Serum Institut, Department of Blood Parasitology and Department of Immunology, National Institute of Health, Infection and Immunity Section, Department of Biology, Imperial College, Copenhagen, Denmark

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Robert E. Sinden Department of Epidemiology Research, Danish Epidemiology Science Centre, Statens Serum Institut, Department of Blood Parasitology and Department of Immunology, National Institute of Health, Infection and Immunity Section, Department of Biology, Imperial College, Copenhagen, Denmark

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Birthe Hogh Department of Epidemiology Research, Danish Epidemiology Science Centre, Statens Serum Institut, Department of Blood Parasitology and Department of Immunology, National Institute of Health, Infection and Immunity Section, Department of Biology, Imperial College, Copenhagen, Denmark

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A temporal and spatial study of malaria transmission in a suburban area of Maputo, Mozambique with a mean population density of 2,737/km2 was made from December 1992 to June 1995. A steep but continuous gradient was observed in the Plasmodium falciparum prevalence from 59.0% adjacent to the breeding sites to 5.4% only a few hundred meters distant. The entomologic inoculation rate ranged from a number too low to be determined in some districts to 20 infectious bites per person per year in the others. The risk of malaria was 6.2 times higher for individuals living less than 200 meters from the breeding sites than for individuals living 500 meters or more away from the breeding sites. In areas of high human density, mosquito and parasite dispersion is very limited, and therefore malaria control strategies could be more specifically targeted.

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