Epidemiological observations on malaria in villages of Buhari PHC, Surat, Gujarat.

Indian journal of malariology Pub Date : 1995-12-01
H C Srivastava, R Kant, R M Bhatt, S K Sharma, V P Sharma
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Abstract

Investigations were carried out in the villages of Buhari PHC, Surat district, Gujarat to determine factors responsible for high prevalence of P. falciparum. The area is well-known for sugarcane cultivation, industrialization and frequent movement of labourers. The slide positivity rate (44.24%) and P. falciparum infections (95.37%) were significantly high. The children of 5-9 yrs of age group suffered maximum from malaria. The infection in children was found associated with splenomegaly also. High falciparum infection (82.35%) was found in labourers camping near villages out of which 90% afebrile cases were reported which were silent carriers and source of transmission. Chloroquine was effective in 75% cases despite of existence of resistant falciparum strain. Among seven anopheline species encountered, An. culicifacies was predominant and found breeding in most of the breeding sites. The status of the insecticide spray and its receptivity among the community were poor. The investigation led to the conclusion that adequate measures are required to deal with migratory labourers, improper insecticide coverage, poor surveillance and mass ignorance.

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古吉拉特邦苏拉特布哈里初级保健村疟疾流行病学观察。
在古吉拉特邦苏拉特县布哈里初级保健村进行了调查,以确定导致恶性疟原虫高流行率的因素。该地区以甘蔗种植、工业化和频繁的劳动力流动而闻名。载玻片阳性率(44.24%)和恶性疟原虫感染率(95.37%)均较高。5-9岁年龄组的儿童受疟疾影响最大。儿童感染也与脾肿大有关。在村庄附近露营的劳动者中,恶性疟原虫感染率较高(82.35%),其中90%为发热病例,是隐性携带者和传染源。尽管存在恶性疟原虫耐药菌株,氯喹对75%的病例有效。在遇到的七种按蚊中,安。以库绿相为主,多数孳生地均有繁殖。杀虫剂喷洒现状和社区接受度较差。调查得出的结论是,需要采取适当措施来处理移徙劳工、杀虫剂覆盖不当、监测不力和大众无知等问题。
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