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坦桑尼亚海岸疟疾高度流行地区基于社区的儿童死亡率研究。

Community based studies on childhood mortality in a malaria holoendemic area on the Tanzanian coast.

作者信息

Premji Z, Ndayanga P, Shiff C, Minjas J, Lubega P, MacLeod J

机构信息

Institute for Public Health, Muhimbili Medical Centre, Dar es Salaam, Tanzania.

出版信息

Acta Trop. 1997 Feb;63(2-3):101-9. doi: 10.1016/s0001-706x(96)00605-5.

DOI:10.1016/s0001-706x(96)00605-5
PMID:9088423
Abstract

Demographic surveillance of children under 5 years of age was undertaken over a 2 year period in a rural area of coastal Tanzania where holoendemic malaria conditions exist. The mean annual entomological innoculation rate (EIR) during the period under study was 234 infective bites per person. There were 192 deaths in children and 1130 live births during the 2 years. Of these, 148 were infant deaths giving an infant mortality rate of 131/1000 live births (95% CI 101, 154). There were 44 deaths in children 1-4 years of age and the overall child mortality rate was 10/1000 (95% CI 6.1, 14.3). Using verbal autopsy questionnaires, 56% of the deaths under 4 years were tentatively attributed to malaria.

摘要

在坦桑尼亚沿海存在疟疾高度流行情况的农村地区,对5岁以下儿童进行了为期两年的人口监测。研究期间的年平均昆虫叮咬感染率(EIR)为每人234次感染性叮咬。两年内有192名儿童死亡,1130例活产。其中,148例为婴儿死亡,婴儿死亡率为131/1000活产(95%置信区间101, 154)。1至4岁儿童中有44例死亡,儿童总体死亡率为10/1000(95%置信区间6.1, 14.3)。使用死因推断问卷,4岁以下死亡病例中56%初步归因于疟疾。

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