The burden of malaria in Africa.

摘要: Malaria remains one of the most serious public health problems in Africa causing high morbidity and mortality. In highly endemic areas malaria is responsible for about 30-50% fever cases 30% outpatient consultations 10-15% hospital admissions. Globally 1.5-2.7 million persons die from yearly. Children under 5 years pregnant women are vulnerable groups. Anaemia consequences young children particularly countries where a level chloroquine resistance exists. some zones temporary decline transmissions due to climatic ecological changes has altered immunological profile population resulting outbreaks epidemics accompanied by The African region been experiencing with an unacceptably disease burden mortality epidemic-prone East Southern Africa. Botswana example incidence increased 13.5 times Nata clinic during 10th week 1996 compared same period 1995. WHO provided technical support antimalarial drugs affected these epidemics. This was followed two workshops on epidemic prevention control. problem drug which present over 17 more intense approach WHO/AFRO this build capacities within ministries member sensitivity testing rational policies. addition developed simple therapeutic efficacy test. It proposed that method be used all region. will make it easy compare data create regional picture. (full text modified)