Electronic Resource
Malaria morbidity and mortality following introduction of a universal policy of artemisinin-based treatment for malaria in Papua, Indonesia: A longitudinal surveillance study
| العنوان: | Malaria morbidity and mortality following introduction of a universal policy of artemisinin-based treatment for malaria in Papua, Indonesia: A longitudinal surveillance study |
|---|---|
| المؤلفون: | von Seidlein, L, Kenangalem, E, Poespoprodjo, JR, Douglas, NM, Burdam, FH, Gdeumana, K, Chalfein, F, Prayoga, Thio, F, Devine, A, Marfurt, J, Waramori, G, Yeung, S, Noviyanti, R, Penttinen, P, Bangs, MJ, Sugiarto, P, Simpson, JA, Soenarto, Y, Anstey, NM, Price, RN |
| بيانات النشر: | PUBLIC LIBRARY SCIENCE 2019-05 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | BACKGROUND: Malaria control activities can have a disproportionately greater impact on Plasmodium falciparum than on P. vivax in areas where both species are coendemic. We investigated temporal trends in malaria-related morbidity and mortality in Papua, Indonesia, before and after introduction of a universal, artemisinin-based antimalarial treatment strategy for all Plasmodium species. METHODS AND FINDINGS: A prospective, district-wide malariometric surveillance system was established in April 2004 to record all cases of malaria at community clinics and the regional hospital and maintained until December 2013. In March 2006, antimalarial treatment policy was changed to artemisinin combination therapy for uncomplicated malaria and intravenous artesunate for severe malaria due to any Plasmodium species. Over the study period, a total of 418,238 patients presented to the surveillance facilities with malaria. The proportion of patients with malaria requiring admission to hospital fell from 26.9% (7,745/28,789) in the pre-policy change period (April 2004 to March 2006) to 14.0% (4,786/34,117) in the late transition period (April 2008 to December 2009), a difference of -12.9% (95% confidence interval [CI] -13.5% to -12.2%). There was a significant fall in the mortality of patients presenting to the hospital with P. falciparum malaria (0.53% [100/18,965] versus 0.32% [57/17,691]; difference = -0.21% [95% CI -0.34 to -0.07]) but not in patients with P. vivax malaria (0.28% [21/7,545] versus 0.23% [28/12,397]; difference = -0.05% [95% CI -0.20 to 0.09]). Between the same periods, the overall proportion of malaria due to P. vivax rose from 44.1% (30,444/69,098) to 53.3% (29,934/56,125) in the community clinics and from 32.4% (9,325/28,789) to 44.1% (15,035/34,117) at the hospital. After controlling for population growth and changes in treatment-seeking behaviour, the incidence of P. falciparum malaria fell from 511 to 249 per 1,000 person-years (py) (incidence rate ratio [IRR |
| مصطلحات الفهرس: | Journal Article |
| URL: | NHMRC/1134989 NHMRC/1132975 |
| الاتاحة: | Open access content. Open access content CC BY https://creativecommons.org/licenses/by/4.0 |
| Other Numbers: | UMV oai:jupiter.its.unimelb.edu.au:11343/225819 Kenangalem, E., Poespoprodjo, J. R., Douglas, N. M., Burdam, F. H., Gdeumana, K., Chalfein, F., Prayoga, , Thio, F., Devine, A., Marfurt, J., Waramori, G., Yeung, S., Noviyanti, R., Penttinen, P., Bangs, M. J., Sugiarto, P., Simpson, J. A., Soenarto, Y., Anstey, N. M. & Price, R. N. (2019). Malaria morbidity and mortality following introduction of a universal policy of artemisinin-based treatment for malaria in Papua, Indonesia: A longitudinal surveillance study. PLOS MEDICINE, 16 (5), https://doi.org/10.1371/journal.pmed.1002815. 10.1371/journal.pmed.1002815 1549-1676 1549-1277 1315723405 |
| المصدر المساهم: | UNIV OF MELBOURNE From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1315723405 |
| قاعدة البيانات: | OAIster |
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