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城市化对喀麦隆西南部莫利科地区学童无症状疟疾的影响。

Influence of urbanisation on asymptomatic malaria in school children in Molyko, South West Cameroon.

作者信息

Kimbi H K, Nformi D, Patchong A M, Ndamukong K J N

机构信息

Department of Plant and Animal Sciences, Faculty of Science, University of Buea, P.O. Box 63 Buea, S.W. P. Cameroon.

出版信息

East Afr Med J. 2006 Nov;83(11):602-9. doi: 10.4314/eamj.v83i11.9476.

DOI:10.4314/eamj.v83i11.9476
PMID:17455449
Abstract

OBJECTIVE

To determine the impact of urbanisation on the prevalence of asymptomatic malaria in Molyko, a rapidly urbanising area of South West Cameroon.

DESIGN

A cross-sectional study.

SETTING

Molyko, South West Province Cameroon.

SUBJECTS

One hundred and sixty six and two hundred and forty four randomly selected children in Molyko in the rainy seasons of 2000 and 2004 respectively.

MAIN OUTCOME MEASURES

Prevalence and geometric mean parasite density of asymptomatic malaria, measurement of axillary temperatures and haematocrit (PCV) values in 2000 and 2004.

RESULTS

There was a significant association between axillary temperature and malaria parasitaemia in both years (p<0.05). Overall, the prevalence of asymptomatic malaria and parasite density values in all age groups in 2004 were lower than in 2000 while the reverse was the case with PCV values.

CONCLUSION

Urbanisation in Molyko has likely reduced the level of malaria endemicity in the area. It is advisable to repeat this study over a period of time in order to assess the long-term effects of urbanisation in the study area.

摘要

目的

确定城市化对喀麦隆西南部一个快速城市化地区莫利科无症状疟疾流行率的影响。

设计

一项横断面研究。

地点

喀麦隆西南省莫利科。

研究对象

分别于2000年和2004年雨季在莫利科随机选取的166名和244名儿童。

主要观察指标

2000年和2004年无症状疟疾的流行率和几何平均寄生虫密度、腋温测量值和血细胞比容(PCV)值。

结果

两年中腋温与疟疾寄生虫血症之间均存在显著关联(p<0.05)。总体而言,2004年所有年龄组的无症状疟疾流行率和寄生虫密度值均低于2000年,而PCV值情况则相反。

结论

莫利科的城市化可能降低了该地区疟疾的流行程度。建议在一段时间内重复此项研究,以评估城市化对研究地区的长期影响。

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