Malaria's indirect contribution to all-cause mortality in the Andaman Islands during the colonial era

Shanks, G. Dennis, Hay, Simon I. and Bradley, David J. (2008) Malaria's indirect contribution to all-cause mortality in the Andaman Islands during the colonial era. The Lancet Infectious Diseases, 8 9: 564-570. doi:10.1016/S1473-3099(08)70130-0


Author Shanks, G. Dennis
Hay, Simon I.
Bradley, David J.
Title Malaria's indirect contribution to all-cause mortality in the Andaman Islands during the colonial era
Journal name The Lancet Infectious Diseases   Check publisher's open access policy
ISSN 1473-3099
1474-4457
Publication date 2008-01-01
Year available 2008
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/S1473-3099(08)70130-0
Open Access Status Not yet assessed
Volume 8
Issue 9
Start page 564
End page 570
Total pages 7
Place of publication London, United Kingdom
Publisher The Lancet Publishing Group
Language eng
Abstract Malaria has a substantial secondary effect on other causes of mortality. From the 19th century, malaria epidemics in the Andaman Islands' penal colony were initiated by the brackish swamp-breeding malaria vector Anopheles sundaicus and fuelled by the importation of new prisoners. Malaria was a major determinant of the highly variable all-cause mortality rate (correlation coefficient r2=0·60, n=68, p<0·0001) from 1872 to 1939. Directly attributed malaria mortality based on post-mortem examinations rarely exceeded one-fifth of total mortality. Infectious diseases such as pneumonia, tuberculosis, dysentery, and diarrhoea, which combined with malaria made up the majority of all-cause mortality, were positively correlated with malaria incidence over several decades. Deaths secondary to malaria (indirect malaria mortality) were at least as great as mortality directly attributed to malaria infections.
Keyword Infectious Diseases
Infectious Diseases
INFECTIOUS DISEASES
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID 079091
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Public Health Publications
 
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