Source:http://linkedlifedata.com/resource/pubmed/id/15598257
Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
|
pubmed:dateCreated |
2004-12-15
|
pubmed:abstractText |
Malaria transmission is a multifactorial phenomenon. Climate is a major limiting factor in the spatial and temporal distribution of malaria, but many non-climatic factors may alter or override the effect of climate. Thirty years of monthly malaria incidence data from KwaZulu-Natal province, South Africa, reveal strong medium and long-term trends, which were not present in the climate data. This paper explores various non-climatic factors that may have contributed towards the observed trends. The development of antimalarial drug resistance, available information on human immunodeficiency virus (HIV) prevalence, cross-border people movements, agricultural activities, emergence of insecticide resistance and the case reporting system are reviewed and their potential effect on malaria transmission examined. Single-variable linear regression analysis showed significant association between seasonal case totals (log-transformed) and the measured level of drug resistance (log-transformed) (r2=0.558, n=10, P=0.013) as well as relative measures of HIV infection since 1990 (r2=0.846, n=11, P=0.001). The other factors appear to have affected the level of malaria transmission at certain periods and to some degree. The importance of surveillance and inclusion of non-climatic variables in analysis of malaria data is demonstrated.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:month |
Dec
|
pubmed:issn |
1360-2276
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
9
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
1258-66
|
pubmed:dateRevised |
2006-11-7
|
pubmed:meshHeading |
pubmed-meshheading:15598257-Agriculture,
pubmed-meshheading:15598257-Climate,
pubmed-meshheading:15598257-Disease Outbreaks,
pubmed-meshheading:15598257-Drug Resistance,
pubmed-meshheading:15598257-Emigration and Immigration,
pubmed-meshheading:15598257-HIV Infections,
pubmed-meshheading:15598257-Humans,
pubmed-meshheading:15598257-Incidence,
pubmed-meshheading:15598257-Insecticide Resistance,
pubmed-meshheading:15598257-Linear Models,
pubmed-meshheading:15598257-Malaria,
pubmed-meshheading:15598257-Risk Factors,
pubmed-meshheading:15598257-Seasons,
pubmed-meshheading:15598257-South Africa
|
pubmed:year |
2004
|
pubmed:articleTitle |
Exploring 30 years of malaria case data in KwaZulu-Natal, South Africa: part II. The impact of non-climatic factors.
|
pubmed:affiliation |
Malaria Research Programme, Medical Research Council, Durban, South Africa. craigm@mrc.ac.za
|
pubmed:publicationType |
Journal Article
|