1. Epidemiological risk factors for clinical malaria infection in the highlands of Western Kenya
- Author
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Essendi, Walters M, Vardo-Zalik, Anne M, Lo, Eugenia, Machani, Maxwell G, Zhou, Guofa, Githeko, Andrew K, Yan, Guiyun, and Afrane, Yaw A
- Subjects
Infectious Diseases ,Prevention ,Clinical Research ,Rare Diseases ,Malaria ,Vector-Borne Diseases ,Aetiology ,2.4 Surveillance and distribution ,Infection ,Good Health and Well Being ,Adolescent ,Adult ,Animals ,Case-Control Studies ,Child ,Child ,Preschool ,Culicidae ,Female ,Housing ,Humans ,Infant ,Insecticide-Treated Bednets ,Kenya ,Logistic Models ,Male ,Mosquito Control ,Population Density ,Risk Factors ,Malaria risk factors ,Case-control study ,House design ,Clinical malaria ,Western Kenya ,Case–control study ,Microbiology ,Medical Microbiology ,Public Health and Health Services ,Tropical Medicine - Abstract
BackgroundUnderstanding the complex heterogeneity of risk factors that can contribute to an increased risk of malaria at the individual and household level will enable more effective use of control measures. The objective of this study was to understand individual and household factors that influence clinical malaria infection among individuals in the highlands of Western Kenya.MethodsThis was a matched case-control study undertaken in the Western Kenya highlands. Clinical malaria cases were recruited from health facilities and matched to asymptomatic individuals from the community who served as controls. Each participant was screened for malaria using microscopy. Follow-up surveys were conducted with individual households to collect socio-economic data. The houses were also checked using pyrethrum spray catches to collect mosquitoes.ResultsA total of 302 malaria cases were matched to 604 controls during the surveillance period. Mosquito densities were similar in the houses of both groups. A greater percentage of people in the control group (64.6%) used insecticide-treated bed nets (ITNs) compared to the families of malaria cases (48.3%). Use of ITNs was associated with lower level of clinical malaria episodes (odds ratio 0.51; 95% CI 0.39-0.68; P
- Published
- 2019