Abstract

Lorenz von Seidlein and Jakob Knudsen discuss the changes in malaria incidence recorded at a single site in Africa over 25 years, along with future implications for disease prevention.

Highlights

  • Malaria burden is much reduced, it remains unacceptably high; what can be done to reduce malaria transmission further?

  • Malaria control programmes originating from the last century target infants, with a focus on adding malaria-related interventions to the expanded program on immunisation (EPI)

  • Mogeni and colleagues show that in Kilifi County, Insecticide-treated bednets (ITNs) were highly protective; children who live in communities with high bednet use were less likely to present with P. falciparum infections, compared to children in communities with low bednet usage

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Summary

Introduction

Malaria burden is much reduced, it remains unacceptably high; what can be done to reduce malaria transmission further?. Mogeni and colleagues present a unique dataset collected from 69,104 children aged from 3 months to 13 years admitted over the last 25 years to Kilifi County Hospital, Kenya. In 1998, 56% of the children were admitted with malaria, presumably mostly caused by Plasmodium falciparum.

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