The changing epidemiology of malaria in Ifakara Town, southern Tanzania

摘要: Between 1995 and 2000 there were marked changes in the epidemiology of malaria Ifakara, southern Tanzania. We documented these using parasitological clinical data from a series community- hospital-based studies involving children up to age 5 years. There was right shift lowering age-specific parasite prevalence community-based cohort studies. The incidence placebo-receiving infants additional study cohorts dropped 0.8 0.43 episodes per infant year 2000, an rate ratio 0.53 (95% confidence interval: 0.404, 0.70, P<0.0001). At same time, increase total number admissions pattern (median 1.55 years vs. 2.33 However, burden deaths remained infants. discuss how dramatic may have arisen use currently available control tools. Caution is required interpretation as it likely underestimate impact anaemia on mortality community, where most paediatric occur. Even low/moderate transmission settings, older suffer episodes, targeting effective at produce important reductions caused by malaria.