Socio-economic determinants are not major risk factors for severe malaria in Gambian children.

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dc.contributor.author Koram, K.A.
dc.contributor.author Bennett, S.
dc.contributor.author Adiamah, J.H.
dc.contributor.author Greenwood, B.M.
dc.date.accessioned 2013-06-17T10:39:08Z
dc.date.accessioned 2017-10-16T13:02:40Z
dc.date.available 2013-06-17T10:39:08Z
dc.date.available 2017-10-16T13:02:40Z
dc.date.issued 1995
dc.identifier.citation Koram, K. A., Bennett, S., Adiamah, J. H., & Greenwood, B. M. (1995). Socio-economic determinants are not major risk factors for severe malaria in Gambian children. Transactions of the Royal Society of Tropical Medicine and Hygiene, 89(2), 151-154. en_US
dc.identifier.issn 00359203
dc.identifier.uri http://197.255.68.203/handle/123456789/3269
dc.description.abstract Only a small proportion of subjects infected with Plasmodium falciparum develop severe disease. Why this should be is not fully understood. To investigate the possible importance of socio-economic variables on the severity of malaria in Gambian children we undertook a case-control study of 384 children with severe or mild malaria. Few differences were found between the 2 groups. Children with severe malaria had a longer duration of symptoms when recruited than mild cases but this difference was largely accounted for by the fact that most children with severe disease were recruited at a referral hospital, whilst mild cases were recruited at a primary health care facility nearer their home. There was no difference between groups in the time before mothers sought some form of health care. Mothers of children with severe disease were less ready to take their child to hospital than mothers of mild cases, suggesting that education on the importance of taking a child with features of malaria to a health centre as soon as possible might have some effect on the development of severe disease. However, overall, the results of this study suggested that socio-economic and behavioural factors are not the major determinants for severe malaria in African children. en_US
dc.subject Malaria; Plasmodium falciparum; Risk factors; The Gambia en_US
dc.title Socio-economic determinants are not major risk factors for severe malaria in Gambian children. en_US
dc.type Article en_US


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  • Epidemiology Department [262]
    The Epidemiology Department contributes to the mission of the institute through basic and applied epidemiological research on, but not limited to, malaria and other diseases of public health importance. It is also home to the Social Science Unit of the Institute, including the Health Support Centre for HIV/AIDS and other communicable and noncommunicable health problems.

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