Bradley A K, Gilles H M
Ann Trop Med Parasitol. 1984 Jun;78(3):265-71.
For 228 of 425 deaths (54%) occurring among 26 100 people of known age in the Malumfashi area of northern Nigeria, data were collected on symptoms present prior to death. Information was obtained on monthly registration visits, as part of demographic investigations, and data for the period November 1977-October 1978 have been analysed. Enumerators used a carefully prepared list of 25 symptoms to elicit information from relatives of the deceased. Pyrexia, diarrhoea and measles accounted for 77% of all deaths. Epidemiological determinants were responsible for all cases of meningococcal infections in the dry season and most cases of diarrhoea in the wet season. Most deaths attributed to measles occurred in the late dry season and early wet season. Epidemics of measles seemed to be localized at any one time in certain villages and the micro-epidemiology of this feature is considered. Malaria does not appear to be responsible for all deaths from pyrexia in the nought to four age group.
在尼日利亚北部马卢姆法希地区已知年龄的26100人中发生的425例死亡病例中，有228例（54%）收集了死亡前出现的症状数据。作为人口调查的一部分，通过每月登记访视获取信息，并对1977年11月至1978年10月期间的数据进行了分析。调查员使用精心编制的25种症状清单，从死者亲属那里获取信息。发热、腹泻和麻疹占所有死亡病例的77%。流行病学决定因素导致了旱季所有的脑膜炎球菌感染病例以及雨季大多数腹泻病例。大多数归因于麻疹的死亡发生在旱季后期和雨季初期。麻疹疫情似乎在任何时候都局限于某些村庄，本文对这一特征的微观流行病学进行了探讨。疟疾似乎并非导致零至四岁年龄组所有发热死亡病例的原因。
