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Malariometric Survey of Ibeshe Community in Ikorodu, Lagos State: Dry Season

DOI: 10.1155/2013/487250

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Abstract:

Malariometric surveys generate data on malaria epidemiology and dynamics of transmission necessary for planning and monitoring of control activities. This study determined the prevalence of malaria and the knowledge, attitude, and practice (KAP) towards malaria infection in Ibeshe, a coastal community. The study took place during the dry season in 10 villages of Ibeshe. All the participants were screened for malaria. A semistructured questionnaire was used to capture sociodemographic data and KAP towards malaria. A total of 1489 participants with a mean age of years took part in the study. Malaria prevalence was 14.7% (95% CI 13.0–16.6%) with geometric mean density of 285 parasites/ L. Over 97% of participants were asymptomatic. Only 40 (2.7%) of the participants were febrile, while 227 (18.1%) were anemic. Almost all the participants (95.8%) identified mosquito bite as a cause of malaria, although multiple agents were associated with the cause of malaria. The commonest symptoms associated with malaria were hot body (89.9%) and headache (84.9%). Window nets (77.0%) were preferred to LLIN (29.6%). Malaria is mesoendemic in Ibeshe during the dry season. The participants had good knowledge of symptoms of malaria; however, there were a lot of misconceptions on the cause of malaria. 1. Introduction Malaria remains one of the greatest causes of morbidity and mortality in the world. Global estimate shows that there are about 219 million cases of malaria in 2010 (with an uncertainty range of 154 million to 289 million) and an estimated 660?000 deaths (with an uncertainty range of 490?000 to 836?000) [1]. Malaria mortality rates have fallen by more than 25% globally since 2000 and by 33% in the World Health Organisation (WHO) African Region. Most deaths occur among children living in Africa where a child dies every minute from malaria [1]. Country-level burden estimates available for 2010 show that an estimated 80% of malaria deaths occur in just 14 countries and about 80% of cases occur in 17 countries [1]. Together, the Democratic Republic of the Congo and Nigeria account for over 40% of the estimated total of malaria deaths globally [1]. The artemisinins are new drugs developed from the Chinese wormwood (Artemisia annua), and the derivatives, namely, artemether, artesunate, and dihydroartemisinin, have now gained popularity as short-acting drugs which could be used in combination with drugs which have long life [2]. Malaria remains a major cause of morbidity and mortality in Nigeria in the era of improved control activities by the National Malaria Control

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