Ndoreraho Adolphe, Shakir Muhammed, Ameh Celestine, Umeokonkwo Chukwuma, Aruna Olusola, Ndereye Juma, Adebowale Ayo
Muramvya Provincial Health Bureau, Burundi Ministry of Health and fight against AIDS.
Nigeria Field Epidemiology and Laboratory Training Program, Abuja.
East Afr Health Res J. 2020;4(2):182-188. doi: 10.24248/eahrj.v4i2.642. Epub 2020 Nov 26.
Malaria is associated with high morbidity and mortality especially in World's tropical regions. In 2016, an estimated 216 million and 445,000 cases of malaria and deaths associated with malaria respectively were reported globally. Malaria is the first leading cause of outpatient visits, hospitalization and death in Burundi. We therefore examined the trend in malaria cases and deaths in Burundi.
We extracted data from Burundi National Health Information System (BNHIS) and assessed trends in malaria cases and deaths from January 2015 to December 2017. A suspected case of malaria was defined as any person treated by anti-malarial drugs without testing while a confirmed case as any person with a positive microscopy or rapid diagnostic test for malaria parasite. We described malaria cases and deaths, and calculated malaria case incidence rate.
A total of22,225,699 malaria cases with 8,660 deaths (CFR 0.04%) was documented during the study period. Out of 22,225,699 cases, 45,291 cases (0.2%) were suspected malaria cases. The observed peak season of malaria infection in any of the studied year was in the raining season (March-June). All provinces of the country were affected. Kirundo and Cankuzo provinces the incidence of malaria cases increased from 10.1 cases per 1,000 persons in 2015 to 13.2 cases per 1,000 persons in 2017. The case fatality rate decreased from 0.06% in 2015 to 0.01% in 2017.
An increasing trend in malaria prevalence was observed in Burundi but Kirundo and Cankuzo provinces were the most affected. However, the case fatality decreased within the studied period. Malaria intervention should be intensified/scaled up in the raining season and the most affected provinces.
疟疾与高发病率和高死亡率相关，尤其是在世界热带地区。2016年，全球估计分别报告了2.16亿例疟疾病例和44.5万例疟疾相关死亡病例。疟疾是布隆迪门诊就诊、住院和死亡的首要原因。因此，我们研究了布隆迪疟疾病例和死亡的趋势。
我们从布隆迪国家卫生信息系统（BNHIS）中提取数据，并评估了2015年1月至2017年12月期间疟疾病例和死亡的趋势。疑似疟疾病例定义为任何未经检测就接受抗疟药物治疗的人，而确诊病例为显微镜检查或疟疾寄生虫快速诊断检测呈阳性的人。我们描述了疟疾病例和死亡情况，并计算了疟疾病例发病率。
在研究期间共记录了22225699例疟疾病例，其中8660人死亡（病死率0.04%）。在22225699例病例中，45291例（0.2%）为疑似疟疾病例。在任何一个研究年份中，观察到的疟疾感染高峰季节是雨季（3月至6月）。该国所有省份均受到影响。基伦多省和坎库佐省的疟疾病例发病率从2015年的每1000人10.1例增加到2017年的每1000人13.2例。病死率从2015年的0.06%降至2017年的0.01%。
布隆迪观察到疟疾流行呈上升趋势，但基伦多省和坎库佐省受影响最大。然而，在研究期间病死率有所下降。应在雨季和受影响最严重的省份加强/扩大疟疾干预措施。
