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Mortality and morbidity from malaria among children in a rural area of The Gambia, West Africa
Abstract
Mortality and morbidity from malaria were measured among 3000 children under the age of 7 years in a rural area of The Gambia, West Africa. Using a post-mortem questionnaire technique, malaria was identified as the probable cause of 4% of infant deaths and of 25% of deaths in children aged 1 to 4 years. The malaria mortality rate was 6.3 per 1000 per year in infants and 10.7 per 1000 per year in children aged 1 to 4 years. Morbidity surveys suggested that children under the age of 7 years experienced about one clinical episode of malaria per year. Calculation of attributable fractions showed that malaria may be responsible for about 40% of episodes of fever in children. Although the overall level of parasitaemia showed little seasonal variation, the clinical impact of malaria was highly seasonal; all malaria deaths and a high proportion of febrile episodes were recorded during a limited period at the end of the rainy season.
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Citations
Cited by
The economic and social burden of malaria
Sachs, J., & Malaney, P. (2002) · Nature · doi:10.1038/415680a · Cited by 2,248
World Health Organization (2000) · Transactions of the Royal Society of Tropical Medicine and Hygiene · doi:10.1016/s0035-9203(00)90300-6 · Cited by 1,085
Hitting Hotspots: Spatial Targeting of Malaria for Control and Elimination
Bousema, T., Griffin, J. T., Sauerwein, R. W., Smith, D. L., Churcher, T. S., Takken, W., Ghani, A., Drakeley, C., & Gosling, R. (2012) · PLoS Medicine · doi:10.1371/journal.pmed.1001165 · Cited by 561
Genton, B., Betuela, I., Felger, I., Al‐Yaman, F., Anders, R. F., Saul, A., Rare, L., Baisor, M., Lorry, K., Brown, G. V., et al. (2002) · The Journal of Infectious Diseases · doi:10.1086/339342 · Cited by 523
Marsh, K., Otoo, L., Hayes, R. J., Carson, D. C., & Greenwood, B. M. (1989) · Transactions of the Royal Society of Tropical Medicine and Hygiene · doi:10.1016/0035-9203(89)90478-1 · Cited by 446
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Metadata
- Authors
- Greenwood, B. M., Bradley, A. K., Greenwood, A. M., Byass, P., Jammeh, K., Marsh, K., Tulloch, S., Oldfield, F. S. J., & Hayes, R.
- Venue
- Transactions of the Royal Society of Tropical Medicine and Hygiene
- Publisher
- Oxford University Press (OUP)
- Published
- 1987-01
- Volume
- 81
- Issue
- 3
- Pages
- 478-486
- ISSN
- 0035-9203 (ISSN-L)
- OpenAlex
- W1999358604
- Cited by
- 624
- References
- 0
- FWCI
- 27.24
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Mortality and morbidity from malaria among children in a rural area of The Gambia, West Africa. https://app.cochat.ai/papers/10.1016/0035-9203(87)90170-2
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- Greenwood, B. M., Bradley, A. K., Greenwood, A. M., Byass, P., Jammeh, K., Marsh, K., Tulloch, S., Oldfield, F. S. J., & Hayes, R. (1987). Mortality and morbidity from malaria among children in a rural area of The Gambia, West Africa. Transactions of the Royal Society of Tropical Medicine and Hygiene. https://doi.org/10.1016/0035-9203(87)90170-2
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