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Volume 1, Issue 2, Pages 81-84 (November 2009)


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Prevalence of Malaria and Anemia Among Young Children in a Tertiary Hospital in Benin City, Edo State, Nigeria

Frederick Olusegun AkinboabCorresponding Author Informationemail address, Richard Omoregiec, Rapheal Mordia, Christopher Ehis Okakab

Received 27 August 2009; received in revised form 25 November 2009; accepted 27 November 2009.

We aimed to determine the prevalence of malaria and anemia among children ≤ 5 years old in Benin City, Edo State, Nigeria. We also assessed the effects of age and sex on disease prevalence. Blood samples were collected from 1325 children (744 males and 581 females) with signs and symptoms of malaria. Malaria parasitemia was diagnosed by microscopy, while anemia was defined as hemoglobin concentration < 11g/dL. Males had a significantly higher risk of malaria infection (odds ratio, OR, 1.399; 95% confidence interval, CI, 1.087–1.801, p < 0.009), while females had a significantly higher risk of anemia (OR, 2.711; 95% CI, 1.872–3.929; p < 0.001). Generally, age did not affect the prevalence of malaria—except among males, where children between 2-3 years old had a significantly (p = 0.006) higher prevalence. Generally and among males, age affected the prevalence of anemia with children 4–5 years old having significantly (p < 0.001) lower prevalence of anemia. Malaria was a risk factor for acquiring anemia (OR, 2.289; 95% CI, 1.630–3.214; p < 0.001). Overall prevalences of 75.77% and 87.32% for malaria and anemia, respectively, were observed. While malaria parasitemia was higher among males, anemia was higher in females. Malaria and anemia were affected by age only in males. Effective control measures against malaria are advocated.

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1. 1 Bremen JG . The ears of hippopotamus: manifestations, determinants and estimates of the malaria burden . Am J Trop Med Hyg . 2001;64(Suppl 1–2):S1–11 .

2. 2 Newton CR , Taylor TE , Whitten RO . Pathophysiology of fatal falciparum malaria in African children . Am J Trop Med Hyg . 1998;58:673–683 . MEDLINE

3. 3 Makler MT , Palmer CJ , Ager AL . A review of practical techniques for the diagnosis of malaria . Ann Trop Med Parasitol . 1998;94:419–433 .

4. 4 Miller LH , Baruch DI , Marsh K , et al.   The pathogenic basis of malaria . Nature . 2002;415:673–679 . MEDLINE | CrossRef

5. 5 Murphy SC , Bremen JG . Gaps in the childhood malaria burden in Africa: cerebral malaria, neurological sequelae, anemia, respiratory distress, hypoglycaemia and complications of pregnancy . Am J Trop Med Hyg . 2001;64(Suppl 1–2):57–67 . MEDLINE

6. 6 Kain KC , Harrington MA , Tennyson S , et al.   Imported malaria: prospective analysis of problems in diagnosis and management . Clin Infect Dis . 1998;27:142–149 . MEDLINE

7. 7 Omoregie R , Adedotun BB , Ogefere HO , et al.   Comparison of the efficacy of malaria PF rapid test device, Giemsa-stained thick blood film and QBC in the diagnosis of malaria in Benin City, Nigeria . Mary Slessor J Med . 2007;7:1–4 .

8. 8 Dzeing-Ella A , Obiang PCN , Tchoua R , et al.   Severe falciparum malaria in Gabonese children: clinical and laboratory features . Malar J . 2005;4:1–8 . MEDLINE | CrossRef

9. 9 Eliades MJ , Wolkon A , Morgah K , et al.   Burden of malaria at community level in children less than 5 years of age in Togo . Am J Trop Med Hyg . 2006;75:622–629 . MEDLINE

10. 10 Incardona S , Vong S , Chiv L , et al.   Large-scale malaria survey in Cambodia: novel insights on species distribution and risk factors . Malar J . 2007;6:37 . MEDLINE | CrossRef

11. 11 Bentler E , Waalen J . The definition of anemia: what is the lower limit of normal of the blood hemoglobin concentration? . Blood . 2006;107:1747–1750 . MEDLINE | CrossRef

12. 12 Riley EM , Wagner GE , Akanmon BD , et al.   Do maternally acquired antibodies protect infants from malaria infection? . Parasite Immunol . 2001;23:51–59 . MEDLINE | CrossRef

13. 13 Pacvol G , Weatherall DJ , Wilson RJM . Effects of foetal hemoglobin on susceptibility of red cells to Plasmodium falciparum . Nature . 1977;270:171–173 . MEDLINE | CrossRef

14. 14 Binka FN , Morris SS , Ross DA , et al.   Patterns of malaria morbidity and mortality in children in northern Ghana . Trans R Soc Trop Med Hyg . 1994;88:381–385 . Abstract | Full-Text PDF (791 KB) | CrossRef

15. 15 Modiano D , Sirima BS , Sawadogo A , et al.   Severe malaria in Burkina Faso: Influence of age and transmission level on clinical presentation . Am J Trop Med Hyg . 1998;59:539–542 . MEDLINE

16. 16 McGregor IA . The development and maintenance of immunity to malaria in highly endemic areas . Clin Trop Med Comm Dis . 1986;1:1–29 .

17. 17 Sanou I , Pare J , Traore S , et al.   Signes cliniques du paludisme grave dans un service de pediatrie a Ouagadougou . Sante . 1997;7:13–17 . MEDLINE

18. 18 Greenwood BM , Bradley AK , Greenwood AM , et al.   Mortality and morbidity from malaria among children in a rural area of the Gambia, West Africa . Trans R Soc Trop Med Hyg . 1987;81:476–486 . Full-Text PDF (148 KB) | CrossRef

a Department of Pathology, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria

b Department of Animal and Environmental Biology, University of Benin, Benin City, Nigeria

c School of Medical Laboratory Sciences, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria

Corresponding Author InformationCorresponding author. Department of Pathology, University of Benin Teaching Hospital, PMB 1111, Benin City, Nigeria

PII: S1877-8607(10)60004-5

doi:10.1016/S1877-8607(10)60004-5


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