Title |
Changing patterns of clinical malaria since 1965 among a tea estate population located in the Kenyan highlands
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Published in |
Transactions of the Royal Society of Tropical Medicine & Hygiene, May 2000
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DOI | 10.1016/s0035-9203(00)90310-9 |
Pubmed ID | |
Authors |
G.D. Shanks, K. Biomndo, S.I. Hay, R.W. Snow |
Abstract |
The changing epidemiology of clinical malaria since 1965 among hospitalized patients was studied at a group of tea estates in the western highlands of Kenya. These data indicate recent dramatic increases in the numbers of malaria admissions (6.5 to 32.5% of all admissions), case fatality (1.3 to 6%) and patients originating from low-risk, highland areas (34 to 59%). Climate change, environmental management, population migration, and breakdown in health service provision seem unlikely explanations for this changing disease pattern. The coincident arrival of chloroquine resistance during the late 1980s in the subregion suggests that drug resistance is a key factor in the current pattern and burden of malaria among this highland population. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 3% |
Tanzania, United Republic of | 1 | 1% |
Australia | 1 | 1% |
Kenya | 1 | 1% |
Spain | 1 | 1% |
United Kingdom | 1 | 1% |
Unknown | 73 | 91% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 19 | 24% |
Researcher | 16 | 20% |
Student > Bachelor | 12 | 15% |
Student > Master | 9 | 11% |
Professor | 5 | 6% |
Other | 11 | 14% |
Unknown | 8 | 10% |
Readers by discipline | Count | As % |
---|---|---|
Agricultural and Biological Sciences | 27 | 34% |
Medicine and Dentistry | 9 | 11% |
Environmental Science | 8 | 10% |
Mathematics | 6 | 8% |
Social Sciences | 5 | 6% |
Other | 14 | 18% |
Unknown | 11 | 14% |