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Geographical, meteorological and vectorial factors related to malaria re-emergence in Huang-Huai River of central China
BACKGROUND: Malaria still represents a significant public health problem in China, and the cases dramatically increased in the areas along the Huang-Huai River of central China after 2001. Considering spatial aggregation of malaria cases and specific vectors, the geographical, meteorological and vec...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2010
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3003275/ https://www.ncbi.nlm.nih.gov/pubmed/21092326 http://dx.doi.org/10.1186/1475-2875-9-337 |
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author | Zhou, Shui S Huang, Fang Wang, Jian J Zhang, Shao S Su, Yun P Tang, Lin H |
author_facet | Zhou, Shui S Huang, Fang Wang, Jian J Zhang, Shao S Su, Yun P Tang, Lin H |
author_sort | Zhou, Shui S |
collection | PubMed |
description | BACKGROUND: Malaria still represents a significant public health problem in China, and the cases dramatically increased in the areas along the Huang-Huai River of central China after 2001. Considering spatial aggregation of malaria cases and specific vectors, the geographical, meteorological and vectorial factors were analysed to determine the key factors related to malaria re-emergence in these particular areas. METHODS: The geographic information of 357 malaria cases and 603 water bodies in 113 villages were collected to analyse the relationship between the residence of malaria cases and water body. Spearman rank correlation, multiple regression, curve fitting and trend analysis were used to explain the relationship between the meteorological factors and malaria incidence. Entomological investigation was conducted in two sites to get the vectorial capacity and the basic reproductive rate to determine whether the effect of vector lead to malaria re-emergence. RESULTS: The distances from household of cases to the nearest water-body was positive-skew distributed, the median was 60.9 m and 74% malaria cases were inhabited in the extent of 60 m near the water body, and the risk rate of people live there attacked by malaria was higher than others(OR = 1.6, 95%CI (1.042, 2.463), P < 0.05). The annual average temperature and rainfall may have close relationship with annual incidence. The average monthly temperature and rainfall were the key factors, and the correlation coefficients are 0.501 and 0.304(P < 0.01), respectively. Moreover, 75.3% changes of monthly malaria incidence contributed to the average monthly temperature (T(mean)), the average temperature of last two months(T(mean01)) and the average rainfall of current month (R(mean)) and the regression equation was Y = -2.085 + 0.839I(1 )+ 0.998T(mean0 )- 0.86T(mean01 )+ 0.16R(mean0). All the collected mosquitoes were Anopheles sinensis. The vectorial capacity and the basic reproductive rate of An. sinensis in two sites were 0.6969, 0.4983 and 2.1604, 1.5447, respectively. CONCLUSION: The spatial distribution between malaria cases and water-body, the changing of meteorological factors, and increasing vectorial capacity and basic reproductive rate of An. sinensis leaded to malaria re-emergence in these areas. |
format | Text |
id | pubmed-3003275 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-30032752011-01-06 Geographical, meteorological and vectorial factors related to malaria re-emergence in Huang-Huai River of central China Zhou, Shui S Huang, Fang Wang, Jian J Zhang, Shao S Su, Yun P Tang, Lin H Malar J Research BACKGROUND: Malaria still represents a significant public health problem in China, and the cases dramatically increased in the areas along the Huang-Huai River of central China after 2001. Considering spatial aggregation of malaria cases and specific vectors, the geographical, meteorological and vectorial factors were analysed to determine the key factors related to malaria re-emergence in these particular areas. METHODS: The geographic information of 357 malaria cases and 603 water bodies in 113 villages were collected to analyse the relationship between the residence of malaria cases and water body. Spearman rank correlation, multiple regression, curve fitting and trend analysis were used to explain the relationship between the meteorological factors and malaria incidence. Entomological investigation was conducted in two sites to get the vectorial capacity and the basic reproductive rate to determine whether the effect of vector lead to malaria re-emergence. RESULTS: The distances from household of cases to the nearest water-body was positive-skew distributed, the median was 60.9 m and 74% malaria cases were inhabited in the extent of 60 m near the water body, and the risk rate of people live there attacked by malaria was higher than others(OR = 1.6, 95%CI (1.042, 2.463), P < 0.05). The annual average temperature and rainfall may have close relationship with annual incidence. The average monthly temperature and rainfall were the key factors, and the correlation coefficients are 0.501 and 0.304(P < 0.01), respectively. Moreover, 75.3% changes of monthly malaria incidence contributed to the average monthly temperature (T(mean)), the average temperature of last two months(T(mean01)) and the average rainfall of current month (R(mean)) and the regression equation was Y = -2.085 + 0.839I(1 )+ 0.998T(mean0 )- 0.86T(mean01 )+ 0.16R(mean0). All the collected mosquitoes were Anopheles sinensis. The vectorial capacity and the basic reproductive rate of An. sinensis in two sites were 0.6969, 0.4983 and 2.1604, 1.5447, respectively. CONCLUSION: The spatial distribution between malaria cases and water-body, the changing of meteorological factors, and increasing vectorial capacity and basic reproductive rate of An. sinensis leaded to malaria re-emergence in these areas. BioMed Central 2010-11-24 /pmc/articles/PMC3003275/ /pubmed/21092326 http://dx.doi.org/10.1186/1475-2875-9-337 Text en Copyright ©2010 Zhou et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Zhou, Shui S Huang, Fang Wang, Jian J Zhang, Shao S Su, Yun P Tang, Lin H Geographical, meteorological and vectorial factors related to malaria re-emergence in Huang-Huai River of central China |
title | Geographical, meteorological and vectorial factors related to malaria re-emergence in Huang-Huai River of central China |
title_full | Geographical, meteorological and vectorial factors related to malaria re-emergence in Huang-Huai River of central China |
title_fullStr | Geographical, meteorological and vectorial factors related to malaria re-emergence in Huang-Huai River of central China |
title_full_unstemmed | Geographical, meteorological and vectorial factors related to malaria re-emergence in Huang-Huai River of central China |
title_short | Geographical, meteorological and vectorial factors related to malaria re-emergence in Huang-Huai River of central China |
title_sort | geographical, meteorological and vectorial factors related to malaria re-emergence in huang-huai river of central china |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3003275/ https://www.ncbi.nlm.nih.gov/pubmed/21092326 http://dx.doi.org/10.1186/1475-2875-9-337 |
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