Changing patterns of clinical malaria since 1965 among a tea estate population located in the Kenyan highlands

Shanks, GD, Biomndo, K, Hay, SI and Snow, RW (2000) Changing patterns of clinical malaria since 1965 among a tea estate population located in the Kenyan highlands. Transactions of the Royal Society of Tropical Medicine and Hygiene, 94 3: 253-255. doi:10.1016/S0035-9203(00)90310-9


Author Shanks, GD
Biomndo, K
Hay, SI
Snow, RW
Title Changing patterns of clinical malaria since 1965 among a tea estate population located in the Kenyan highlands
Journal name Transactions of the Royal Society of Tropical Medicine and Hygiene   Check publisher's open access policy
ISSN 0035-9203
Publication date 2000-05-01
Year available 2000
Sub-type Article (original research)
DOI 10.1016/S0035-9203(00)90310-9
Open Access Status Not yet assessed
Volume 94
Issue 3
Start page 253
End page 255
Total pages 3
Place of publication LONDON
Publisher ROYAL SOC TROPICAL MEDICINE
Language eng
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 sub-region suggests that drug resistance is a key factor in the current pattern and burden of malaria among this highland population.
Keyword malaria
Plasmodium falciparum
epidemiology
highlands
drug resistance
climate change
Kenya
Mortality
Africa
Impact
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID 056642
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: WoS Import - Archived
 
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