Severe malaria in Burkina Faso: urban and rural environment

The age distribution and the clinical patterns of severe malaria (SM) were compared in patients from urban areas characterized by relatively low transmission, and from rural areas where the mean inoculation rates are at least twenty fold higher. The mean age of the urban and rural patients was 4.8 +...

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Bibliographic Details
Published inParassitologia Vol. 41; no. 1-3; p. 251
Main Authors Modiano, D, Sirima, B S, Sawadogo, A, Sanou, I, Paré, J, Konaté, A, Pagnoni, F
Format Journal Article
LanguageEnglish
Published Italy 01.09.1999
Subjects
Animals
Burkina Faso - epidemiology
Child
Child, Preschool
Female
Humans
Infant
Malaria, Falciparum - epidemiology
Male
Plasmodium falciparum - isolation & purification
Prevalence
Risk Factors
Rural Health
Urban Health
Burkina Faso
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Summary:The age distribution and the clinical patterns of severe malaria (SM) were compared in patients from urban areas characterized by relatively low transmission, and from rural areas where the mean inoculation rates are at least twenty fold higher. The mean age of the urban and rural patients was 4.8 +/- 3.0 and 2.2 +/- 1.9 respectively (p < 0.000). The prevalence of coma was higher in the urban subsample (53.6 vs 28.9%, p << 0.000) while that of severe anemia (hemoglobin < 5 g/dl) was higher in rural patients (47.4 vs 14.8%, p < 0.000). Our data, in line with previous results obtained comparing rural areas characterized by different inoculation rates, show that the epidemiological context influences the clinical presentation of SM.
ISSN:0048-2951