Effects and control of highland malaria epidemic in Uasin Gishu district Kenya.

摘要: In Kenya a physician conducted study during the May-June 1990 malaria epidemic in highlands of Uasin Gishu district to find areas for improvement surveillance and control epidemics. Deaths attributed all causes malaria-specific deaths per month rose by 2.2 8.6 times respectively epidemic. Malaria proportionate peaked at 75%. Case fatality rates were not different from those periods before after Most malaria-related (62.1%) occurred Eldoret District Hospital. mortality cases (92.3%) near Turbo Rural Demonstration Health Centre. There 3.7 number patients with primary clinical diagnosis hospital peak than there generally are. The proportion school pupils absent ranged 17.6% Davis School 54.4% Kapkwis School. Children lower classes had higher absenteeism rate (35-40% vs. 10-23%). One 8 health centers 33 dispensaries provided treatment (chloroquine amodiaquine or sulfonamide combinations). During 1st 7 days mobile teams treated 13820 patients. They refer only 39 severe hospital. 72.8% 674 blood smears examined field positive parasites. Larvicides insecticides applied manholes septic tanks cesspits pit latrines gully traps water closets soak pits drinking indoors university college prisons secondary boarding schools. education messages delivered through clinic sessions schools Barazas radio. intervention team covered affected 14 days. additional cost controlling totaled 1833609 KSHS.