Control of malaria: a successful experience from Viet Nam.
Objective To follow malaria prospectively in an ethnic minority commune in the south of Viet Nam with high malaria transmission and seasonal fluctuation, during malaria control interventions using insecticide-treated bednets (ITBNs) and early diagnosis and treatment (EDT) of symptomatic patients. Me...
| Published in: | Bulletin of the World Health Organization Vol. 80; no. 8; pp. 660 - 661 |
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| Main Authors: | , , , , , , , , , |
| Format: | research Journal Article |
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World Health Organization
2002
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106097795&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106097795 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00429686 BUW jtl: Bulletin of the World Health Organization issn: 00429686 maglogo: N pubinfo: dt: 2002 vid: 80 iid: 8 pid: 437 pub: World Health Organization artinfo: ui: 106097795 106097795 2009450030 NLM12219158 106097795 ppf: 660 ppct: 1 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Control of malaria: a successful experience from Viet Nam. aug: au: Hung LQ De Vries PJ Giao PT Nam NV Binh TQ Chong M Quoc N Thanh T Hung L Kager P sug: subj: Infection Control Malaria Prevention and Control Antimalarials Therapeutic Use Attitude to Health Bedding and Linens Utilization Child Child, Preschool Female Health Education Insecticides Malaria Diagnosis Malaria Drug Therapy Malaria Ethnology Male Primaquine Therapeutic Use Prospective Studies Vietnam Human Child: 6-12 years Child, Preschool: 2-5 years Female Male ab: Objective To follow malaria prospectively in an ethnic minority commune in the south of Viet Nam with high malaria transmission and seasonal fluctuation, during malaria control interventions using insecticide-treated bednets (ITBNs) and early diagnosis and treatment (EDT) of symptomatic patients. Methods From 1994 onwards the following interventions were used: distribution of ITBNs to all households with biannual reimpregnation; construction of a health post and appointment of staff trained in microscopic diagnosis and treatment of malaria; regular supply of materials and drugs; annual cross-sectional malaria surveys with treatment of all parasitaemic subjects, and a programme of community involvement and health education. Surveys were held yearly at the end of the rainy season. During the surveys, demographic data were updated. Diagnosis and treatment of malaria were free of charge. Plasmodium falciparum infection was treated with artesunate and P. vivax infection with chloroquine plus primaquine. Findings The baseline survey in 1994 recorded 716 inhabitants. Of the children under 2 years of age, 37% were parasitaemic; 56% of children aged 2-10 years, and 35% of the remaining population were parasitaemic. P. falciparum accounted for 73-79% of these infections. The respective splenomegaly rates for the above-mentioned age groups were 20%, 56%, and 32%. In 1999, the proportion of parasitaemic subjects was 4%, 7% and 1%, respectively, of which P. falciparum contributed 56%. The splenomegaly rate was 0%, 5% and 2%, respectively. Conclusions A combination of ITBNs and EDT, provided free of charge, complemented by annual diagnosis and treatment during malaria surveys and community involvement with health education successfully brought malaria under control. This approach could be applied to other regions in the south of Viet Nam and provides a sound basis for further studies in other areas with different epidemiological patterns of malaria. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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