scholarly journals Decreasing malaria transmission in Mojo Health Center, Ethiopia: Shifting burden of the disease and its implication for malaria elimination

Author(s):  
Andargie Abate ◽  
Lemu Golassa

Abstract IntroductionMalaria continues to strike hardest against the public health and economic development in Ethiopia. Its transmission tends to be highly heterogeneous within or between years, and from area to area. Thus, this study was aimed to determine the trend prevalence of malaria in Mojo health center, East Shoa Zone, Ethiopia.MethodsA retrospective study was conducted in Mojo health center, East Shoa zone, Ethiopia from February to March, 2021. Malaria cases and related data reported between 2016 and2020 were carefully reviewed from laboratory registration logbooks. The collected data was analyzed using SPSS 25 software.ResultsA total of 19, 106 blood films were examined from malaria suspected patients. The overall microscopically confirmed prevalence of malaria was 4.2%. P. vivax was the predominant species accounting 76.2% of positive samples. Malaria cases declined from 259 in 2016 to 77 in 2020. The proportion of malaria was higher among males (64.8%) than females (35.2%). Higher malaria cases were observed from the age group 15–24 years followed by the age group of 25–34. Malaria cases were at a peak level from September-November and lowest from December-February.ConclusionDespite declining trend of malaria prevalence was observed, malaria still remains a public health burden in the area. The high burden of malaria among reproductive age group, males, and during cultivation season reflects its impact on health and economic development. Shifting of P. falciparum to P.vivax related malaria should get an attention during prevention and control strategies for the successful progress of malaria elimination programme.

2021 ◽  
Author(s):  
Andargie Abate ◽  
Lemu Golassa

Abstract Introduction: Malaria continues to strike hardest against the public health and economic development in Ethiopia. Its transmission tends to be highly heterogeneous within or between years, and from area to area which need understanding of the contextual diversity of malaria prevalence within each site to deliver optimal intervention according to the site specific situation of the disease. Thus, this study was aimed to determine the trend prevalence of malaria in Mojo health center, East Shoa Zone, Ethiopia. Methods: A retrospective study was conducted in Mojo health center, East Shoa zone, Ethiopia from February to March, 2021. Malaria cases and related data reported 2016-2020 were carefully reviewed from laboratory registration logbooks. The collected data was analyzed using SPSS 25 software.Results: A total of 19, 106 blood films were examined from malaria suspected patients. The overall microscopically confirmed prevalence of malaria was 4.2%. P. vivax was the predominant species accounting 76.2% of positive samples. Malaria cases declined from 259 in 2016 to 77 in 2020. The proportion of malaria was higher among males (64.8%) than females (35.2%) in all five years. Higher malaria cases was observed from the age group 15-24 years old followed by the age group of 25-34. Malaria cases were at a peak level from September-November and lowest from December-February.Conclusion: Although the declining trend of malaria prevalence was observed, malaria still remains a public health burden in the area. The high burden of malaria among reproductive age group, males, and during cultivation season reflects its impact on health and economic development. Shifting of P. falciparum to P.vivax related malaria should get an attention during prevention and control strategies for the successful progress of malaria elimination programme.


Author(s):  
Pratibha U. Mulik ◽  
Sudam R. Suryawanshi

Background: After comparing data of NFHS-3 and 4, prevalence of overweight and obesity in women of an urban population almost doubled in 10 yr. So, the causes of increasing prevalence need to be studied as public health concern. Objective of the study is to determine prevalence of overweight and obesity among reproductive age group (15-49 years) of women in an urban slum of Mumbai.Methods: Total 220 women were selected among 11 sectors from A to K by simple random method and data collected by using validated questionnaire. WHO’s classification was used to classify as overweight and obese.Results: Out of 220 women participated in study, 14 (6.36%) were obese, 75 (34.09%) were overweight according to BMI and 17 (7.7%) were found to be obese according to waist to hip ratio. From the present study it was seen that age group of the women, socio economic class, education, history of hypothyroidism, family history of obesity, types of work women do, hours of television watching, calorie and fat intake, had a significant relationship with BMI, whereas physical exercise they used to do and tendency to sleep in the afternoon and hours of sleep in the night had non-significant relationship with BMI.Conclusions: Obesity and overweight is found to be a growing public health problem and can be preventable. Interventional measures include developing healthy eating habits, regular moderate physical exercise, sleeping habits, health camps for screening of overweight and obesity.


2019 ◽  
Author(s):  
Amir Alelign ◽  
Beyene Petros ◽  
Gobena Ameni

AbstractBackgroundTuberculosis (TB), a bacterial infectious disease, persisted to be a public health concern in many developing countries. However, lack of enough data concerning the public health burden and potential risk factors for the disease hampered control programs in target areas. Therefore, the present study aimed in determining the prevalence of TB and genetic diversity ofM. tuberculosisisolates in South Gondar Zone, northwest Ethiopia.MethodsA cross-sectonal study was conducte between March 2015 and April 2017. Bacteriological examination, region of difference (RD) 9 based polymerase chain reaction (PCR) and spoligotyping were used to undertake the study.ResultsThe overall prevalence of smear positive all forms TB was 6.3% (186/2953). Extra pulmonary TB (EPTB) was clinically characterized on about 62.4% (116/186) TB-positive cases. Some of the patients’ demographic characteristics such as [patients’ origin (chi-square (χ2) value; 62.8, p<0.001) were found to be significantly associated risk factors for the occurrence of TB in the study area. All the mycobacterial isolates were found to beM. tuberculosis.Among the 35 different spoligotype patterns identified, 22 patterns were shared types. The three dominantly identified families were T, CAS and Manu, each consisting of 46.9%, 24.0% and 10.4% of the isolates, respectivelyConclusionThe presented study revealed that TB continued to be a public health problem in South Gondar Zone which suggests a need of implementing effective disease control strategies.


Author(s):  
Widya Widya ◽  
Mateus Sakundarno Adi

There were 813 cases of pneumonia in toddler (children under five years old) at Bandarharjo Public Health Center, 328 cases in 2018 and there was an increase of 485 cases in 2019. Notably high number of pneumonia in toddler at Bandaharjo Public Health Center, and there were no research on the situation. The purpose of research is to obtain situation of pneumonia in toddler in 2018-2019 at Bandaharjo Public Health Center in Semarang City. The research method was used descriptive with cross-sectional design used secondary data of diagnosed pneumonia from Bandaharjo Public Health Center. The data obtained were number of cases per year, number of cases per village, age, sex, and number of visits of toddler with cough/difficulty breathed symptoms. The results of the study show that there was an increased of 485 cases in 2019, with the highest cases found in Bandaharjo Village by 273 cases while the lowest cases found in Dadapsari Village with 93 cases. It also showed that toddler age ≥1-5 year old is the highest by 76.1%, male toddler by 55.7%, and toddler with cough/difficulty breathed symptoms in 2018 by 41% and in 2019 by 59%. Conclusions is that there was an increase in the number of pneumonia cases in toddler from 2018 to 2019, the average age group most affected is toddler 1-5 year old with male toddler found higher, also number of visits of toddlers with cough/difficulty breathing symptoms increased from 2018 to 2019. Keywords: pneumonia; descriptions of pneumonia cases; Bandaharjo ABSTRAK Puskesmas Bandarharjo terdapat 813 kasus pneumonia pada balita, pada tahun 2018 sebesar 328 kasus dan tahun 2019 sebesar 485 kasus. Tingginya kasus pneumonia pada balita di Puskesmas Bandaharjo, dan belum ada yang melakukan penelitian mengenai situasi pneumonia pada balita di Puskesmas Bandaharjo tahun 2018-2019. Tujuan penelitian ini adalah diperolehnya situasi kasus pneumonia pada balita tahun 2018-2019 di Puskesmas Bandaharjo Kota Semarang. Jenis penelitian menggunakan data sekunder Puskesmas Bandaharjo tahun 2018-2019 yang terdiagnosis pneumonia. Data yang diperoleh yaitu jumlah kasus per tahun, jumlah kasus per kelurahan, umur, jenis kelamin, dan jumlah kunjungan balita yang batuk. Hasil penelitian diatas menunjukkan bahwa pada pada tahun 2019 mengalami kenaikan sebesar 485 kasus, dengan penemuan kasus pneumonia tertinggi pada balita di Kelurahan Bandaharjo sebesar 273 kasus, sedangkan penemuan kasus pneumonia terendah yakni di Kelurahan Dadapsari sebesar 93 kasus. Usia 1-5 tahun lebih banyak terkena pneumonia yaitu sebesar 76,1% dengan jenis kelamin laki laki sebesar 55,7%, memiliki gejala seperti batuk /kesukaran bernapas pada tahun 2018 sebesar 41% pada tahun 2019 sebesar 59%. Kesimpulan adalah bahwa setiap tahunnya mengalami kenaikan jumlah kasus pneumonia pada balita, dan rata-rata kelompok umur yang paling banyak terkena pneumonia adalah kelompok umur 1-5 tahun dengan jenis kelamin laki-laki, serta balita yang memiliki gejala seperti batuk /kesukaran bernapas di tahun 2018 mengalami kenaikan pada tahun 2019. Kata kunci: pneumonia; gambaran kasus pneumonia; Bandaharjo


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
E Mezzalira ◽  
B Stopa ◽  
A Khawaja ◽  
S Izzy ◽  
W Gormley

Abstract Introduction The Centers for Disease Control and Prevention (CDC) reports that there were 2.87 million cases of traumatic brain injury (TBI) in the United States in 2014, 69 million worldwide. Some studies suggest a connection between TBI and increased risk of dementia, but it remains unclear whether the risk increases with age and TBI severity. Given our aging population, it is essential to better characterize the link between TBI and dementia. Methods We conducted a retrospective cohort study of two major academic medical centers for years 2000-2015. We identified all patients with TBI, aged 45 and older. Variables included age, TBI severity, pre-existing dementia, dementia diagnosed after TBI, years to dementia, and follow-up time. TBI severity was determined by head/neck AIS score, using ICD-PIC software. Mild TBI was defined as AIS 0-2, and Moderate/Severe as AIS 3-6. Analysis was done in R.v.3.0.1 software. Results Overall, there were 14,199 patients with TBI, of which 9,938 (70%) were mild and 4,261 (30%) were moderate/severe. Mean age was 70.5 (±14.0). There were 1,422 cases (10%) of pre-existing dementia, and 850 (6%) cases of dementia diagnosed after TBI. The mean follow-up time was 1,129 (±1,474) days. The 75-84 age group had the highest incidence of TBI (28%). When compared by age group and TBI severity, the proportion of moderate/severe TBI increased with increasing age. The proportion of pre-existing dementia increased with age, as expected. Notably, there is increased incidence of dementia after TBI in patients aged 65 and older (7-10%, p &lt; 0.001). There was no observed effect of TBI severity on the risk of dementia after TBI. Conclusions Our results indicate that TBI is a risk factor for the development of dementia, especially in patients aged 65 and older. Given the global public health burden of these two diseases it is critical to develop effective TBI primary prevention strategies. Key messages TBI is a risk factor for the development of dementia. Need for public health measures to mitigate the risk of TBI in the patient population 65 and older.


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