Document Detail

Assessing the impact of indoor residual spraying on malaria morbidity using a sentinel site surveillance system in Western Uganda.
MedLine Citation:
PMID:  19815875     Owner:  NLM     Status:  MEDLINE    
A single round of indoor residual spraying (IRS) using lambda-cyhalothrin was implemented in a district of Uganda with moderate transmission intensity in 2007. Individual patient data were collected from one health facility within the district 8 months before and 16 months after IRS. There was a consistent decrease in the proportion of patients diagnosed with clinical malaria after IRS for patients < 5 and > 5 years of age (52% versus 26%, P < 0.001 and 36% versus 23%, P < 0.001, respectively). There was a large decrease in the proportion of positive blood smears in the first 4 months after IRS for patients < 5 (47% versus 14%, P < 0.001) and > 5 (26% versus 9%, P < 0.001) years of age, but this effect waned over the subsequent 12 months. IRS was effective in reducing malaria morbidity, but this was not sustained beyond 1 year for the proportion of blood smears read as positive.
Hasifa Bukirwa; Vincent Yau; Ruth Kigozi; Scott Filler; Linda Quick; Myers Lugemwa; Gunawardena Dissanayake; Moses Kamya; Fred Wabwire-Mangen; Grant Dorsey
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of tropical medicine and hygiene     Volume:  81     ISSN:  1476-1645     ISO Abbreviation:  Am. J. Trop. Med. Hyg.     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-09     Completed Date:  2009-10-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370507     Medline TA:  Am J Trop Med Hyg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  611-4     Citation Subset:  AIM; IM    
Uganda Malaria Surveillance Project, Kampala, Uganda.
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MeSH Terms
Child, Preschool
Insecticides / pharmacology*
Malaria / mortality*,  prevention & control*
Mosquito Control / methods*
Nitriles / pharmacology*
Pyrethrins / pharmacology*
Sentinel Surveillance
Time Factors
Uganda / epidemiology
Grant Support
U50/CCU925122//PHS HHS
Reg. No./Substance:
0/Insecticides; 0/Nitriles; 0/Pyrethrins; 68085-85-8/cyhalothrin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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