Prevalence And Determinants Of Symptomatic And Asymptomatic Malaria

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A cross-sectional study was carried out to examine therninterrelationship of a ge, sex, nutr i t ional s tatus and the effectrnof residing i n malarious areas, ~ith the development of malariarninfection with and without symptoms. The study populationrnconsisted of 2,708 individual s from Pawi resettlement area, ofrnwhom 1,513 (55.87 %) were chi l dren under the age of 5 years andrnthe rest 1,195 (44.13 %) above the age of 5 years.rnSymptomat.ic mala r i a , defined as fever plus shivering orrnsweating , coupled with a positive smear for malaria parasiternhad a prevalence of 10 . 2 %. Asymptomat.ic malar i a, defined as arnpositive smear for ma l aria, with none of the above symptoms hadrna preval e nce of 7.0 %. The overa ll prevalence of malaria wasrnsignificantl y lower during inf ancy (9 %) and higher in the secondrnyear of life (22 %), P = 0 . 0001. Similarly the preva lence ofrnsymptomatic malaria was significantly lower (4 %) during 1nfancyrnand hig he r (14 %) i n chi ldren 1n the second year of 1 ife, P =rn0.001. No significant. var iati on vli t h age 1n the prevalence ofrna symptomatic mal aria was observed. No s ign iflcant associationrnbetween age, sex , nut r it 10na l status of chi ldren or res idence inrnmalarious areas with the proportion of ma l arl a infectlon with andrnwithout symptoms was detected .rnChild ren in the second year o f life were identified asrnhav i ng hi ghe r risk of clinical malaria therefore due attentionrnshould be paid to provide them wi th facilit i es fo r ea rlyrndiagnosis and treatment. The study also sugges t.s thatrnre l atively short experience, in areas with high transmission ofrnmalaria ma y lead to th e development of certain level o frnprotective immunity against the disease.

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Prevalence And Determinants Of Symptomatic And Asymptomatic Malaria

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