Sixty years trying to define the malaria burden in Africa: have we made any progress?

BMC Medicine

Robert W Snow¹ 

[1] Spatial Health Metrics Group, Department of Public Health Research, KEMRI-Welcome Trust Research Program, Nairobi, Kenya

关键词: Africa;    Monitoring;    Measurement;    Parasitemia;    Morbidity;    Malaria mortality;   

Others  :  1118048
DOI  :  10.1186/s12916-014-0227-x

 received in 2014-09-17, accepted in 2014-11-05,  发布年份 2014

【 摘 要 】

Controversy surrounds the precise numbers of malaria deaths and clinical episodes in Africa. This would not have surprised malariologists working in Africa 60 years ago as they began to unravel the enigma that is ‘malaria’. Malaria is a complex disease manifesting as a multitude of symptoms, degrees of severity and indirect morbid consequences. Clinical immunity develops quickly and the presence of infection cannot always be used to distinguish between malaria and other illnesses. During the 1950s and 1960s parasite prevalence was used in preference to statistics on malaria mortality and morbidity. An argument is made for a resurrection of this measure of the quantity of malaria across Africa as a more reliable means to understand the impact of control.

【 授权许可】

   
2014 Snow; licensee BioMed Central Ltd.

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