Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana
The efficacy of insecticide-treated nets (ITNs) in prevention of malaria and anaemia has been shown in rural settings, but their impact in urban settings is unknown. We carried out an ITN intervention in two communities in urban Accra, Ghana, where local malaria transmission is known to occur. There was evidence for a mass or community effect, despite ITN use by fewer than 35% of households. Children living within 300 m of a household with an ITN had higher haemoglobin concentrations (0.5 g/dl higher, P = 0.011) and less anaemia (odds ratio 2.21, 95% CI 1.08-4.52, P = 0.031 at month 6), than children living more than 300 m away from a household with an ITN, although malaria parasitaemias were similar. With urban populations growing rapidly across Africa, this study shows that ITNs will be an effective tool to assist African countries to achieve their Millennium Development Goals in urban settings.
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Format: | Journal Article biblioteca |
Language: | English |
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Oxford University Press
2010-07
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Subjects: | malaria, waterborne diseases, anemia, community involvement, urban areas, |
Online Access: | https://hdl.handle.net/10568/40512 https://doi.org/10.1016/j.trstmh.2010.03.004 |
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dig-cgspace-10568-405122023-12-08T19:36:04Z Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana Klinkenberg, Eveline Onwona-Agyeman, K.A. McCall, P.J. Wilson, M.D. Bates, I. Verhoeff, F.H. Barnish, G. Donnelly, M.J. malaria waterborne diseases anemia community involvement urban areas The efficacy of insecticide-treated nets (ITNs) in prevention of malaria and anaemia has been shown in rural settings, but their impact in urban settings is unknown. We carried out an ITN intervention in two communities in urban Accra, Ghana, where local malaria transmission is known to occur. There was evidence for a mass or community effect, despite ITN use by fewer than 35% of households. Children living within 300 m of a household with an ITN had higher haemoglobin concentrations (0.5 g/dl higher, P = 0.011) and less anaemia (odds ratio 2.21, 95% CI 1.08-4.52, P = 0.031 at month 6), than children living more than 300 m away from a household with an ITN, although malaria parasitaemias were similar. With urban populations growing rapidly across Africa, this study shows that ITNs will be an effective tool to assist African countries to achieve their Millennium Development Goals in urban settings. 2010-07 2014-06-13T14:47:49Z 2014-06-13T14:47:49Z Journal Article Klinkenberg, Eveline; Onwona-Agyeman, K. A.; McCall, P. J.; Wilson, M. D.; Bates, I.; Verhoeff, F. H.; Barnish, G.; Donnelly, M. J. 2010. Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana. Transactions of the Royal Society of Tropical Medicine and Hygiene, 104(7): 496-503. doi: http://dx.doi.org/10.1016/j.trstmh.2010.03.004 0035-9203 https://hdl.handle.net/10568/40512 https://doi.org/10.1016/j.trstmh.2010.03.004 en Limited Access Oxford University Press |
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malaria waterborne diseases anemia community involvement urban areas malaria waterborne diseases anemia community involvement urban areas Klinkenberg, Eveline Onwona-Agyeman, K.A. McCall, P.J. Wilson, M.D. Bates, I. Verhoeff, F.H. Barnish, G. Donnelly, M.J. Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana |
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The efficacy of insecticide-treated nets (ITNs) in prevention of malaria and anaemia has been shown in rural settings, but their impact in urban settings is unknown. We carried out an ITN intervention in two communities in urban Accra, Ghana, where local malaria transmission is known to occur. There was evidence for a mass or community effect, despite ITN use by fewer than 35% of households. Children living within 300 m of a household with an ITN had higher haemoglobin concentrations (0.5 g/dl higher, P = 0.011) and less anaemia (odds ratio 2.21, 95% CI 1.08-4.52, P = 0.031 at month 6), than children living more than 300 m away from a household with an ITN, although malaria parasitaemias were similar. With urban populations growing rapidly across Africa, this study shows that ITNs will be an effective tool to assist African countries to achieve their Millennium Development Goals in urban settings. |
format |
Journal Article |
topic_facet |
malaria waterborne diseases anemia community involvement urban areas |
author |
Klinkenberg, Eveline Onwona-Agyeman, K.A. McCall, P.J. Wilson, M.D. Bates, I. Verhoeff, F.H. Barnish, G. Donnelly, M.J. |
author_facet |
Klinkenberg, Eveline Onwona-Agyeman, K.A. McCall, P.J. Wilson, M.D. Bates, I. Verhoeff, F.H. Barnish, G. Donnelly, M.J. |
author_sort |
Klinkenberg, Eveline |
title |
Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana |
title_short |
Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana |
title_full |
Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana |
title_fullStr |
Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana |
title_full_unstemmed |
Cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban Ghana |
title_sort |
cohort trial reveals community impact of insecticide-treated nets on malariometric indices in urban ghana |
publisher |
Oxford University Press |
publishDate |
2010-07 |
url |
https://hdl.handle.net/10568/40512 https://doi.org/10.1016/j.trstmh.2010.03.004 |
work_keys_str_mv |
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1787229483159257088 |