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Influence of urbanisation on asymptomatic malaria in school children in Molyko, South West Cameroon

H.K. Kimbi, D. Nformi, A.M. Patchong, K.J.N. Ndamukong

Abstract


Objective: To determine the impact of urbanisation on the prevalence of asymptomatic malaria in Molyko, a rapidly urbanising area of South West Cameroon.

Design: A cross-sectional study.

Setting: Molyko, South West Province Cameroon.

Subjects: One hundred and sixty six and two hundred and forty four randomly selected children in Molyko in the rainy seasons of 2000 and 2004 respectively.

Main outcome measures: Prevalence and geometric mean parasite density of asymptomatic malaria, measurement of axillary temperatures and haematocrit (PCV) values in 2000 and 2004.

Results: There was a significant association between axillary temperature and malaria parasitaemia in both years (p<0.05). Overall, the prevalence of asymptomatic malaria and parasite density values in all age groups in 2004 were lower than in 2000 while the reverse was the case with PCV values.

Conclusion: Urbanisation in Molyko has likely reduced the level of malaria endemicity in the area. It is advisable to repeat this study over a period of time in order to assess the long-term
effects of urbanisation in the study area.

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