Malaria epidemiology in the Ahafo area of Ghana
Identifieur interne : 000815 ( Main/Exploration ); précédent : 000814; suivant : 000816Malaria epidemiology in the Ahafo area of Ghana
Auteurs : Kwaku P. Asante [Ghana] ; Charles Zandoh [Ghana] ; Dominic B. Dery [Ghana] ; Charles Brown [Ghana] ; George Adjei [Ghana] ; Yaw Antwi-Dadzie [Ghana] ; Martin Adjuik [Ghana] ; Kofi Tchum [Ghana] ; David Dosoo [Ghana] ; Seeba Amenga-Etego [Ghana] ; Christine Mensah ; Kwabena B. Owusu-Sekyere [Ghana] ; Chris Anderson [Ghana] ; Gary Krieger [États-Unis] ; Seth Owusu-Agyei [Ghana]Source :
- Malaria Journal [ 1475-2875 ] ; 2011.
Abstract
Prior to the start of mining activities, a cross-sectional survey was conducted in 2006/2007 to determine malaria epidemiology, including malaria parasitaemia and anaemia among children < 5 years and monthly malaria transmission in a mining area of Ghana.
A total of 1,671 households with a child less than five years were selected. About 50% of the household heads were males. The prevalence of any malaria parasitaemia was 22.8% (95% CI 20.8 - 24.9).
The baseline malaria epidemiology suggests a high malaria transmission in the mining area prior to the start of mining activities. Efforts at controlling malaria in this mining area have been intensified but could be enhanced with increased resources and partnerships between the government and the private sector.
Url:
DOI: 10.1186/1475-2875-10-211
PubMed: 21801344
PubMed Central: 3171375
Affiliations:
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Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Dery, Dominic B" sort="Dery, Dominic B" uniqKey="Dery D" first="Dominic B" last="Dery">Dominic B. Dery</name><affiliation wicri:level="1"><nlm:aff id="I1">Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. 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Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Dosoo, David" sort="Dosoo, David" uniqKey="Dosoo D" first="David" last="Dosoo">David Dosoo</name><affiliation wicri:level="1"><nlm:aff id="I1">Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Amenga Etego, Seeba" sort="Amenga Etego, Seeba" uniqKey="Amenga Etego S" first="Seeba" last="Amenga-Etego">Seeba Amenga-Etego</name><affiliation wicri:level="1"><nlm:aff id="I1">Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Mensah, Christine" sort="Mensah, Christine" uniqKey="Mensah C" first="Christine" last="Mensah">Christine Mensah</name><affiliation><nlm:aff id="I5">HealthLink Consulting P.O. Box AN 6811, Accra-North Ghana</nlm:aff><wicri:noCountry code="subfield">Accra-North Ghana</wicri:noCountry></affiliation></author><author><name sortKey="Owusu Sekyere, Kwabena B" sort="Owusu Sekyere, Kwabena B" uniqKey="Owusu Sekyere K" first="Kwabena B" last="Owusu-Sekyere">Kwabena B. 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Asante</name><affiliation wicri:level="1"><nlm:aff id="I1">Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Zandoh, Charles" sort="Zandoh, Charles" uniqKey="Zandoh C" first="Charles" last="Zandoh">Charles Zandoh</name><affiliation wicri:level="1"><nlm:aff id="I1">Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Dery, Dominic B" sort="Dery, Dominic B" uniqKey="Dery D" first="Dominic B" last="Dery">Dominic B. Dery</name><affiliation wicri:level="1"><nlm:aff id="I1">Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Brown, Charles" sort="Brown, Charles" uniqKey="Brown C" first="Charles" last="Brown">Charles Brown</name><affiliation wicri:level="4"><nlm:aff id="I2">College of Health Sciences, University of Ghana, Legon, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>College of Health Sciences, University of Ghana, Legon</wicri:regionArea><orgName type="university">Université du Ghana</orgName><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Adjei, George" sort="Adjei, George" uniqKey="Adjei G" first="George" last="Adjei">George Adjei</name><affiliation wicri:level="1"><nlm:aff id="I1">Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Antwi Dadzie, Yaw" sort="Antwi Dadzie, Yaw" uniqKey="Antwi Dadzie Y" first="Yaw" last="Antwi-Dadzie">Yaw Antwi-Dadzie</name><affiliation wicri:level="3"><nlm:aff id="I3">Newmont Ghana Gold Limited C825/26 Lagos Avenue East, Legon, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Newmont Ghana Gold Limited C825/26 Lagos Avenue East, Legon, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Adjuik, Martin" sort="Adjuik, Martin" uniqKey="Adjuik M" first="Martin" last="Adjuik">Martin Adjuik</name><affiliation wicri:level="3"><nlm:aff id="I4">INDEPTH Network Secretariat, 11 Mensah Wood Street, East Legon P. O. Box KD 213, Kanda, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>INDEPTH Network Secretariat, 11 Mensah Wood Street, East Legon P. O. Box KD 213, Kanda, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Tchum, Kofi" sort="Tchum, Kofi" uniqKey="Tchum K" first="Kofi" last="Tchum">Kofi Tchum</name><affiliation wicri:level="1"><nlm:aff id="I1">Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Dosoo, David" sort="Dosoo, David" uniqKey="Dosoo D" first="David" last="Dosoo">David Dosoo</name><affiliation wicri:level="1"><nlm:aff id="I1">Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Amenga Etego, Seeba" sort="Amenga Etego, Seeba" uniqKey="Amenga Etego S" first="Seeba" last="Amenga-Etego">Seeba Amenga-Etego</name><affiliation wicri:level="1"><nlm:aff id="I1">Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Mensah, Christine" sort="Mensah, Christine" uniqKey="Mensah C" first="Christine" last="Mensah">Christine Mensah</name><affiliation><nlm:aff id="I5">HealthLink Consulting P.O. Box AN 6811, Accra-North Ghana</nlm:aff><wicri:noCountry code="subfield">Accra-North Ghana</wicri:noCountry></affiliation></author><author><name sortKey="Owusu Sekyere, Kwabena B" sort="Owusu Sekyere, Kwabena B" uniqKey="Owusu Sekyere K" first="Kwabena B" last="Owusu-Sekyere">Kwabena B. Owusu-Sekyere</name><affiliation wicri:level="3"><nlm:aff id="I3">Newmont Ghana Gold Limited C825/26 Lagos Avenue East, Legon, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Newmont Ghana Gold Limited C825/26 Lagos Avenue East, Legon, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Anderson, Chris" sort="Anderson, Chris" uniqKey="Anderson C" first="Chris" last="Anderson">Chris Anderson</name><affiliation wicri:level="3"><nlm:aff id="I3">Newmont Ghana Gold Limited C825/26 Lagos Avenue East, Legon, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Newmont Ghana Gold Limited C825/26 Lagos Avenue East, Legon, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Krieger, Gary" sort="Krieger, Gary" uniqKey="Krieger G" first="Gary" last="Krieger">Gary Krieger</name><affiliation wicri:level="2"><nlm:aff id="I6">Newfields 730 17th Street Suite 925 Denver, CO 80202, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Newfields 730 17th Street Suite 925 Denver, CO 80202</wicri:regionArea><placeName><region type="state">Colorado</region></placeName></affiliation></author><author><name sortKey="Owusu Agyei, Seth" sort="Owusu Agyei, Seth" uniqKey="Owusu Agyei S" first="Seth" last="Owusu-Agyei">Seth Owusu-Agyei</name><affiliation wicri:level="1"><nlm:aff id="I1">Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, Ghana Health Service, Ministry of Health, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author></analytic><series><title level="j">Malaria Journal</title><idno type="eISSN">1475-2875</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p><italic>Plasmodium falciparum </italic>malaria remains endemic in sub-Saharan Africa including Ghana. The epidemiology of malaria in special areas, such as mining areas needs to be monitored and controlled. Newmont Ghana Gold Limited is conducting mining activities in the Brong Ahafo Region of Ghana that may have an impact on the diseases such as malaria in the mining area.</p></sec><sec><title>Methods</title><p>Prior to the start of mining activities, a cross-sectional survey was conducted in 2006/2007 to determine malaria epidemiology, including malaria parasitaemia and anaemia among children < 5 years and monthly malaria transmission in a mining area of Ghana.</p></sec><sec><title>Results</title><p>A total of 1,671 households with a child less than five years were selected. About 50% of the household heads were males. The prevalence of any malaria parasitaemia was 22.8% (95% CI 20.8 - 24.9). <italic>Plasmodium falciparum </italic>represented 98.1% (95% CI 96.2 - 99.2) of parasitaemia. The geometric mean <italic>P. falciparum </italic>asexual parasite count was 1,602 (95% CI 1,140 - 2,252) and 1,195 (95% CI 985 - 1,449) among children < 24 months and ≥ 24 months respectively. Health insurance membership (OR 0.60, 95% CI 0.45 - 0.80, p = 0.001) and the least poor (OR 0.57, 95% CI 0.37 - 0.90, p = 0.001) were protected against malaria parasitaemia. The prevalence of anaemia was high among children < 24 months compared to children ≥ 24 months (44.1% (95% CI 40.0 - 48.3) and 23.8% (95% CI 21.2 - 26.5) respectively. About 69% (95% CI 66.3 - 70.9) of households own at least one ITN. The highest EIRs were record in May 2007 (669 <italic>ib/p/m</italic>) and June 2007 (826 <italic>ib/p/m</italic>). The EIR of <italic>Anopheles gambiae </italic>were generally higher than <italic>Anopheles funestus</italic>.</p></sec><sec><title>Conclusion</title><p>The baseline malaria epidemiology suggests a high malaria transmission in the mining area prior to the start of mining activities. Efforts at controlling malaria in this mining area have been intensified but could be enhanced with increased resources and partnerships between the government and the private sector.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Snow, Rw" uniqKey="Snow R">RW Snow</name></author><author><name sortKey="Guerra, Ca" uniqKey="Guerra C">CA Guerra</name></author><author><name sortKey="Noor, Am" uniqKey="Noor A">AM Noor</name></author><author><name sortKey="Myint, Hy" uniqKey="Myint H">HY Myint</name></author><author><name sortKey="Hay, Si" uniqKey="Hay S">SI Hay</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Owusu Agyei, S" uniqKey="Owusu Agyei S">S Owusu-Agyei</name></author><author><name sortKey="Asante, Kp" uniqKey="Asante K">KP Asante</name></author><author><name sortKey="Adjuik, M" uniqKey="Adjuik M">M Adjuik</name></author><author><name sortKey="Adjei, G" 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Doumani</name></author><author><name sortKey="Singer, Bh" uniqKey="Singer B">BH Singer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Utzinger, J" uniqKey="Utzinger J">J Utzinger</name></author><author><name sortKey="Tozan, Y" uniqKey="Tozan Y">Y Tozan</name></author><author><name sortKey="Singer, Bh" uniqKey="Singer B">BH Singer</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Sharp, B" uniqKey="Sharp B">B Sharp</name></author><author><name sortKey="Van Wyk, P" uniqKey="Van Wyk P">P van Wyk</name></author><author><name sortKey="Sikasote, Jb" uniqKey="Sikasote J">JB Sikasote</name></author><author><name sortKey="Banda, P" uniqKey="Banda P">P Banda</name></author><author><name sortKey="Kleinschmidt, I" uniqKey="Kleinschmidt I">I Kleinschmidt</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li><li>États-Unis</li></country><region><li>Colorado</li><li>Région du Grand Accra</li></region><settlement><li>Accra</li><li>Legon (Ghana)</li></settlement><orgName><li>Université du Ghana</li></orgName></list><tree><noCountry><name sortKey="Mensah, Christine" sort="Mensah, Christine" uniqKey="Mensah C" first="Christine" last="Mensah">Christine Mensah</name></noCountry><country name="Ghana"><noRegion><name sortKey="Asante, Kwaku P" sort="Asante, Kwaku P" uniqKey="Asante K" first="Kwaku P" last="Asante">Kwaku P. Asante</name></noRegion><name sortKey="Adjei, George" sort="Adjei, George" uniqKey="Adjei G" first="George" last="Adjei">George Adjei</name><name sortKey="Adjuik, Martin" sort="Adjuik, Martin" uniqKey="Adjuik M" first="Martin" last="Adjuik">Martin Adjuik</name><name sortKey="Amenga Etego, Seeba" sort="Amenga Etego, Seeba" uniqKey="Amenga Etego S" first="Seeba" last="Amenga-Etego">Seeba Amenga-Etego</name><name sortKey="Anderson, Chris" sort="Anderson, Chris" uniqKey="Anderson C" first="Chris" last="Anderson">Chris Anderson</name><name sortKey="Antwi Dadzie, Yaw" sort="Antwi Dadzie, Yaw" uniqKey="Antwi Dadzie Y" first="Yaw" last="Antwi-Dadzie">Yaw Antwi-Dadzie</name><name sortKey="Brown, Charles" sort="Brown, Charles" uniqKey="Brown C" first="Charles" last="Brown">Charles Brown</name><name sortKey="Dery, Dominic B" sort="Dery, Dominic B" uniqKey="Dery D" first="Dominic B" last="Dery">Dominic B. Dery</name><name sortKey="Dosoo, David" sort="Dosoo, David" uniqKey="Dosoo D" first="David" last="Dosoo">David Dosoo</name><name sortKey="Owusu Agyei, Seth" sort="Owusu Agyei, Seth" uniqKey="Owusu Agyei S" first="Seth" last="Owusu-Agyei">Seth Owusu-Agyei</name><name sortKey="Owusu Sekyere, Kwabena B" sort="Owusu Sekyere, Kwabena B" uniqKey="Owusu Sekyere K" first="Kwabena B" last="Owusu-Sekyere">Kwabena B. Owusu-Sekyere</name><name sortKey="Tchum, Kofi" sort="Tchum, Kofi" uniqKey="Tchum K" first="Kofi" last="Tchum">Kofi Tchum</name><name sortKey="Zandoh, Charles" sort="Zandoh, Charles" uniqKey="Zandoh C" first="Charles" last="Zandoh">Charles Zandoh</name></country><country name="États-Unis"><region name="Colorado"><name sortKey="Krieger, Gary" sort="Krieger, Gary" uniqKey="Krieger G" first="Gary" last="Krieger">Gary Krieger</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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