Rapid Urban Malaria Appraisal (RUMA) II: Epidemiology of urban malaria in Dar es Salaam (Tanzania)

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dc.contributor.author Wang, S.-J.
dc.contributor.author Lengeler, C.
dc.contributor.author Mtasiwa, D.
dc.contributor.author Mshana, T.
dc.contributor.author Manane, L.
dc.contributor.author Maro, G.
dc.contributor.author Marcel Tanner, S.
dc.date.accessioned 2013-02-15T07:19:18Z
dc.date.available 2013-02-15T07:19:18Z
dc.date.issued 2006
dc.identifier.citation Wang, S. J., Lengeler, C., Mtasiwa, D., Mshana, T., Manane, L., Maro, G., & Tanner, M. (2006). Rapid urban malaria appraisal (RUMA) II: Epidemiology of urban malaria in Dar es Salaam (Tanzania). Malaria journal, 5(1), 28.
dc.identifier.issn 1475-2875-5-28
dc.identifier.uri http://hdl.handle.net/123456789/466
dc.description.abstract Background: The thinking behind malaria research and control strategies stems largely from experience gained in rural areas and needs to be adapted to the urban environment. Methods: A rapid assessment of urban malaria was conducted in Dar es Salaam in June-August, 2003 using a standard Rapid Urban Malaria Appraisal (RUMA) methodology. This study was part of a multi-site study in sub-Saharan Africa supported by the Roll Back Malaria Partnership. Results: Overall, around one million cases of malaria are reported every year by health facilities. However, school surveys in Dar es Salaam during a dry spell in 2003 showed that the prevalence of malaria parasites was low: 0.8%, 1.4%, 2.7% and 3.7% in the centre, intermediate, periphery and surrounding rural areas, respectively. Health facilities surveys showed that only 37/717 (5.2%) of presenting fever cases and 22/781 (2.8%) of non-fever cases were positive by blood slide. As a result, malaria-attributable fractions for fever episodes were low in all age groups and there was an important over-reporting of malaria cases. Increased malarial infection rates were seen in persons who travelled to rural areas within the past three months. A remarkably high coverage of insecticide-treated nets and a corresponding reduction in malarial infection risk were found. Conclusion: The number of clinical malaria cases was much lower than routine reporting suggested. Improved malaria diagnosis and re-defined clinical guidelines are urgently required to avoid over-treatment with antimalarials. en_GB
dc.language.iso en en_GB
dc.publisher BioMed Central en_GB
dc.relation.ispartofseries Malaria Journal;5:28
dc.subject Rapid Urban Malaria Appraisal (RUMA) en_GB
dc.subject Epidemiology en_GB
dc.subject Malaria en_GB
dc.subject Tanzania en_GB
dc.title Rapid Urban Malaria Appraisal (RUMA) II: Epidemiology of urban malaria in Dar es Salaam (Tanzania) en_GB
dc.type Article en_GB


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