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. 1987;81(3):478-86.
doi: 10.1016/0035-9203(87)90170-2.

Mortality and morbidity from malaria among children in a rural area of The Gambia, West Africa

B M Greenwood  1 , A K Bradley, A M Greenwood, P Byass, K Jammeh, K Marsh, S Tulloch, F S Oldfield, R Hayes
Affiliations

Mortality and morbidity from malaria among children in a rural area of The Gambia, West Africa

B M Greenwood et al. Trans R Soc Trop Med Hyg. 1987.

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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