Malaria Epidemics and Interventions, Kenya, Burundi, Southern Sudan, and Ethiopia, 1999–2004
Quantitative data on the onset and evolution of malaria epidemics are scarce. We review case studies from recent African Plasmodium falciparum epidemics (Kisii and Gucha Districts, Kenya, 1999; Kayanza Province, Burundi, 2000–2001; Aweil East, southern Sudan, 2003; Gutten and Damot Gale, Ethiopia, 2...
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Centers for Disease Control and Prevention
2006-10-01
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doaj-dea5861e90cb4ae2a48fb90b6c34f6cb2020-11-25T02:34:00ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592006-10-0112101477148510.3201/eid1210.060540Malaria Epidemics and Interventions, Kenya, Burundi, Southern Sudan, and Ethiopia, 1999–2004Francesco ChecchiJonathan CoxSuna BalkanAbiy TamratGerardo PriottoKathryn P. AlbertiDejan ZurovacJean-Paul GuthmannQuantitative data on the onset and evolution of malaria epidemics are scarce. We review case studies from recent African Plasmodium falciparum epidemics (Kisii and Gucha Districts, Kenya, 1999; Kayanza Province, Burundi, 2000–2001; Aweil East, southern Sudan, 2003; Gutten and Damot Gale, Ethiopia, 2003–2004). We highlight possible epidemic risk factors and review delays in epidemic detection and response (up to 20 weeks), essentially due to poor case reporting and analysis or low use of public facilities. Epidemics lasted 15–36 weeks, and patients' age profiles suggested departures from classical notions of epidemic malaria everywhere but Burundi. Although emergency interventions were mounted to expand inpatient and outpatient treatment access, we believe their effects were lessened because of delays, insufficient evaluation of disease burden, lack of evidence on how to increase treatment coverage in emergencies, and use of ineffective drugs.https://wwwnc.cdc.gov/eid/article/12/10/06-0540_articleMalariaPlasmodium falciparumepidemicinterventionKenyaBurundi |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Francesco Checchi Jonathan Cox Suna Balkan Abiy Tamrat Gerardo Priotto Kathryn P. Alberti Dejan Zurovac Jean-Paul Guthmann |
spellingShingle |
Francesco Checchi Jonathan Cox Suna Balkan Abiy Tamrat Gerardo Priotto Kathryn P. Alberti Dejan Zurovac Jean-Paul Guthmann Malaria Epidemics and Interventions, Kenya, Burundi, Southern Sudan, and Ethiopia, 1999–2004 Emerging Infectious Diseases Malaria Plasmodium falciparum epidemic intervention Kenya Burundi |
author_facet |
Francesco Checchi Jonathan Cox Suna Balkan Abiy Tamrat Gerardo Priotto Kathryn P. Alberti Dejan Zurovac Jean-Paul Guthmann |
author_sort |
Francesco Checchi |
title |
Malaria Epidemics and Interventions, Kenya, Burundi, Southern Sudan, and Ethiopia, 1999–2004 |
title_short |
Malaria Epidemics and Interventions, Kenya, Burundi, Southern Sudan, and Ethiopia, 1999–2004 |
title_full |
Malaria Epidemics and Interventions, Kenya, Burundi, Southern Sudan, and Ethiopia, 1999–2004 |
title_fullStr |
Malaria Epidemics and Interventions, Kenya, Burundi, Southern Sudan, and Ethiopia, 1999–2004 |
title_full_unstemmed |
Malaria Epidemics and Interventions, Kenya, Burundi, Southern Sudan, and Ethiopia, 1999–2004 |
title_sort |
malaria epidemics and interventions, kenya, burundi, southern sudan, and ethiopia, 1999–2004 |
publisher |
Centers for Disease Control and Prevention |
series |
Emerging Infectious Diseases |
issn |
1080-6040 1080-6059 |
publishDate |
2006-10-01 |
description |
Quantitative data on the onset and evolution of malaria epidemics are scarce. We review case studies from recent African Plasmodium falciparum epidemics (Kisii and Gucha Districts, Kenya, 1999; Kayanza Province, Burundi, 2000–2001; Aweil East, southern Sudan, 2003; Gutten and Damot Gale, Ethiopia, 2003–2004). We highlight possible epidemic risk factors and review delays in epidemic detection and response (up to 20 weeks), essentially due to poor case reporting and analysis or low use of public facilities. Epidemics lasted 15–36 weeks, and patients' age profiles suggested departures from classical notions of epidemic malaria everywhere but Burundi. Although emergency interventions were mounted to expand inpatient and outpatient treatment access, we believe their effects were lessened because of delays, insufficient evaluation of disease burden, lack of evidence on how to increase treatment coverage in emergencies, and use of ineffective drugs. |
topic |
Malaria Plasmodium falciparum epidemic intervention Kenya Burundi |
url |
https://wwwnc.cdc.gov/eid/article/12/10/06-0540_article |
work_keys_str_mv |
AT francescochecchi malariaepidemicsandinterventionskenyaburundisouthernsudanandethiopia19992004 AT jonathancox malariaepidemicsandinterventionskenyaburundisouthernsudanandethiopia19992004 AT sunabalkan malariaepidemicsandinterventionskenyaburundisouthernsudanandethiopia19992004 AT abiytamrat malariaepidemicsandinterventionskenyaburundisouthernsudanandethiopia19992004 AT gerardopriotto malariaepidemicsandinterventionskenyaburundisouthernsudanandethiopia19992004 AT kathrynpalberti malariaepidemicsandinterventionskenyaburundisouthernsudanandethiopia19992004 AT dejanzurovac malariaepidemicsandinterventionskenyaburundisouthernsudanandethiopia19992004 AT jeanpaulguthmann malariaepidemicsandinterventionskenyaburundisouthernsudanandethiopia19992004 |
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