Prevalence of Malaria among Patients Attending Public Health Facilities in Maputo City, Mozambique

Alexandre Macedo de Oliveira Malaria Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia Ministerio da Saude de Mocambique, Maputo, Mozambique Malaria Consortium Africa Regional Office, Kampala, Uganda Office of the Director, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia Universidade Eduardo Mondlane, Maputo, Mozambique

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Rosalia Mutemba Malaria Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia Ministerio da Saude de Mocambique, Maputo, Mozambique Malaria Consortium Africa Regional Office, Kampala, Uganda Office of the Director, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia Universidade Eduardo Mondlane, Maputo, Mozambique

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Juliette Morgan Malaria Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia Ministerio da Saude de Mocambique, Maputo, Mozambique Malaria Consortium Africa Regional Office, Kampala, Uganda Office of the Director, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia Universidade Eduardo Mondlane, Maputo, Mozambique

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Elizabeth Streat Malaria Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia Ministerio da Saude de Mocambique, Maputo, Mozambique Malaria Consortium Africa Regional Office, Kampala, Uganda Office of the Director, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia Universidade Eduardo Mondlane, Maputo, Mozambique

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Jacquelin Roberts Malaria Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia Ministerio da Saude de Mocambique, Maputo, Mozambique Malaria Consortium Africa Regional Office, Kampala, Uganda Office of the Director, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia Universidade Eduardo Mondlane, Maputo, Mozambique

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Manoj Menon Malaria Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia Ministerio da Saude de Mocambique, Maputo, Mozambique Malaria Consortium Africa Regional Office, Kampala, Uganda Office of the Director, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia Universidade Eduardo Mondlane, Maputo, Mozambique

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Samuel Mabunda Malaria Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia Ministerio da Saude de Mocambique, Maputo, Mozambique Malaria Consortium Africa Regional Office, Kampala, Uganda Office of the Director, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia Universidade Eduardo Mondlane, Maputo, Mozambique

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We conducted a health facility-based survey to estimate the prevalence of malaria among febrile patients at health facilities (HFs) in Maputo City. Patients answered a questionnaire on malaria risk factors and underwent malaria testing. A malaria case was defined as a positive result for malaria by microscopy in a patient with fever or history of fever in the previous 24 hours. Among 706 patients with complete information, 111 (15.7%) cases were identified: 105 were positive for Plasmodium falciparum only, two for Plasmodium ovale only, and four for both P. falciparum and P. ovale. Fever documented at study enrollment, age ≥ 5 years, rural HF, and travel outside Maputo City were statistically significantly associated with malaria by multivariate analysis. We found a high prevalence of laboratory-confirmed malaria among febrile patients in Maputo City. Further studies are needed to relate these findings with mosquito density to better support malaria prevention and control.

Author Notes

*Address correspondence to Alexandre Macedo de Oliveira, Malaria Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, 1600 Clifton Rd, MS A-06, Atlanta, GA 30333. E-mail: acq7@cdc.gov

Financial support: Funding for this evaluation was partially provided by the United States Agency for International Development (USAID) through the President's Malaria Initiative (PMI). The funding source for this study had no role in study design, data collection, analysis, or interpretation.

Authors' addresses: Alexandre Macedo de Oliveira, Juliette Morgan, Jacquelin Roberts, and Manoj Menon, Malaria Branch and Office of the Director, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention (CDC), Atlanta, GA, E-mails: acq7@cdc.gov, jmorgan@cdc.gov, jmr1@il.cdc.gov, and mmenon@gmail.com. Rosalia Mutemba, Ministerio da Saude de Mocambique, Maputo, Mozambique, E-mail: rosalmutemba@yahoo.com.br. Elizabeth Streat, Malaria Consortium Africa Regional Office, Kampala, Uganda, E-mail: e.streat@malariaconsortium.org. Samuel Jose Alves Mabunda, Universidade Eduardo Mondlane, Maputo, Mozambique, E-mail: sjamabunda@gmail.com.

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