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|Title: ||Urban malaria and anaemia in children: a cross-sectional survey in two cities of Ghana|
|Authors: ||Klinkenberg, Eveline|
McCall, P. J.
Wilson, Michael D.
Osei Akoto, Alex
Amerasinghe, Felix P.
Verhoeff, Francine H.
Donnelly, Martin J.
|Issue Date: ||2006|
|Publisher: ||Tropical Medicine and International Health|
|Citation: ||Tropical Medicine and International Health, volume 11 no 5 pp 578–588|
|Abstract: ||objective To describe the epidemiology of urban malaria, an emerging problem in sub-Saharan Africa.
method Cross-sectional surveys of communities in Accra and Kumasi, Ghana, determining risk factors
for malaria infection and anaemia in children aged 6–60 months.
results Malaria prevalence rates ranged from 2% to 33% between urban communities. 47.1% of
children were anaemic (Hb < 11.0 g/dl). Factors associated with malaria prevalence were low socioeconomic
status, age and anaemia. The attributable risks of anaemia and severe anaemia (Hb < 8.0 g/dl)
caused by malaria were 5% and 23% respectively.
conclusions Malaria in urban areas displayed a heterogeneity and complexity that differed from the
rural environment, which has important implications for malaria control. Marked intra-city variation
indicates the importance of targeting specific areas or districts. The most vulnerable group, the urban
poor, should be prioritized when designing control measures. This would require careful assessment of
the malaria risk pattern in any city to guide an integrated control program.|
|Description: ||This article is published in Tropical Medicine and International Health and also available at doi:10.1111/j.1365-3156.2006.01609.x|
|Appears in Collections:||College of Agric and Natural Resources|
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