Document Detail


Hospital-based study of severe malaria and associated deaths in Myanmar.
MedLine Citation:
PMID:  10327709     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The present study identifies factors that contribute to malaria deaths in township hospitals reporting large numbers of such deaths in Myanmar. Between July and December 1995, we identified a total of 101 patients with severe and complicated malaria by screening the cases admitted to hospital with a primary diagnosis of falciparum malaria. Unrousable coma and less marked impairment of consciousness with or without other severe malaria complications, in contrast to severe malaria anaemia, were associated with all malaria deaths. Adult patients with severe malaria were 2.8 times more likely to die than child patients, with the higher risk of death among adults probably being associated with previous exposure to malaria, delay in seeking treatment and severity of the illness before admission. In view of this, we consider that malaria mortality could be reduced by improving peripheral facilities for the management of severe malaria and providing appropriate education to communities, without stepping up vector control activities.
Malaria threatens about 60% of Myanmar's population with morbidity and mortality. Factors are identified which contribute to malaria mortality in township hospitals reporting large numbers of such deaths in Myanmar. During July-December 1995, 101 patients with severe and complicated malaria were identified through the screening of cases admitted to hospital with a primary diagnosis of falciparum malaria. Unrousable coma and less marked impairment of consciousness with or without other severe malaria complications, in contrast to severe malaria anemia, were associated with all malaria deaths. Adult patients with severe malaria were 2.8 times more likely to die than child patients, with the higher risk of death among adults probably associated with previous exposure to malaria, delay in seeking treatment, and the severity of illness before admission. The level of malaria mortality could be reduced by improving peripheral facilities for the management of severe malaria and providing appropriate education to communities, without stepping up vector control activities.
Authors:
M N Ejov; T Tun; S Aung; S Lwin; K Sein
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Bulletin of the World Health Organization     Volume:  77     ISSN:  0042-9686     ISO Abbreviation:  Bull. World Health Organ.     Publication Date:  1999  
Date Detail:
Created Date:  1999-06-01     Completed Date:  1999-06-01     Revised Date:  2009-05-29    
Medline Journal Info:
Nlm Unique ID:  7507052     Medline TA:  Bull World Health Organ     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  310-4     Citation Subset:  IM; J    
Affiliation:
UNDP/WHO Malaria Control Project, Office of WHO, Yangon, Myanmar.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Distribution
Child
Child, Preschool
Female
Hospital Mortality*
Hospitals, Urban
Humans
Infant
Malaria, Falciparum / etiology,  mortality*,  prevention & control
Male
Middle Aged
Mosquito Control
Myanmar / epidemiology
Needs Assessment
Risk Factors
Severity of Illness Index
Sex Distribution

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


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