Cross-sectional prevalence and pattern of non-anaemia severe malaria among 2–10 year olds in Sokoto in Northwestern Nigeria
Usman Nasir Nakakana1(), Ridwan Muhammad Jega2, Aliyu Mamman Nauzo3, Yahya Mohammed4, Ismaila Mohammed Ahmed5
1. Medical Research Council, The Gambia Unit at London School of Hygiene and Tropical Medicine, Fajara 220, The Gambia 2. Department of Paediatrics, Usmanu Danfodiyo University Teaching Hospital, Sokoto 234, Nigeria 3. Department of Paediatrics, Federal Medical Centre, Birnin Kebbi 234, Nigeria 4. Department of Microbiology, Usmanu Danfodiyo University, Sokoto 234, Nigeria 5. Department of Community Medicine, Usmanu Danfodiyo University Teaching Hospital, Sokoto 234, Nigeria
Malaria is highly prevalent in Nigeria and accounts for approximately 40% of global malaria mortality. However, most reports on severe malaria in Nigeria are from hospital-based studies without accurate information from communities; thus, malaria-related deaths in the community are left untracked. This study aimed to describe the prevalence and pattern of severe malaria in a community in Northwestern Nigeria. A cross-sectional study was conducted among 2–10-year-old children in Sokoto, in August and December 2016, to determine the endemicity of malaria based on Plasmodium falciparum prevalence rate (PfPR2-10) and to describe the disease pattern. Severe malaria was diagnosed according to the World Health Organisation criteria. Data were described using Stata version 15. The prevalence of non-anaemia severe malaria was higher than expected (2.6%), considering the endemicity pattern which was mesoendemic based on a PfPR2-10 of 34.8%. The mean age of children with severe malaria was 3.73 years, and the male–female ratio was 2:1. However, 54.0% of the patients had hyperparasitaemia. A relatively high prevalence of non-anaemia severe malaria was found in Wamakko. This finding suggests the need to identify and treat cases in the community using modifications of current strategies, particularly seasonal malaria chemoprophylaxis.
. [J]. Frontiers of Medicine, 2022, 16(6): 969-974.
Usman Nasir Nakakana, Ridwan Muhammad Jega, Aliyu Mamman Nauzo, Yahya Mohammed, Ismaila Mohammed Ahmed. Cross-sectional prevalence and pattern of non-anaemia severe malaria among 2–10 year olds in Sokoto in Northwestern Nigeria. Front. Med., 2022, 16(6): 969-974.
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