CASE-CONTROL STUDY OF MOSQUITO NETS AGAINST MALARIA IN THE AMAZON REGION OF COLOMBIA
The degree of effectiveness of mosquito nets against malaria in the Americas has remained uncertain. We carried out a case-control study of net use and mild malaria in the Amazonas state of Colombia. Two hundred ninety cases were enrolled via the Health Department services, and 977 community-based c...
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Veröffentlicht in: | The American journal of tropical medicine and hygiene 2005-07, Vol.73 (1), p.140-148 |
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creator | ALEXANDER, NEAL RODRIGUEZ, MAURICIO PEREZ, LIGIA CAICEDO, JUAN CARLOS CRUZ, JESUS PRIETO, GUILLERMO ARROYO, JOSE ANTONIO COTACIO, MARIA CRISTINA SUAREZ, MARTHA DE LA HOZ, FERNANDO HALL, ANDREW J |
description | The degree of effectiveness of mosquito nets against malaria in the Americas has remained uncertain. We carried out a case-control study of net use and mild malaria in the Amazonas state of Colombia. Two hundred ninety cases were enrolled via the Health Department services, and 977 community-based controls matched for age, sex, and place of residence. We found that a large proportion of the population (96% of controls) slept under nets. Nevertheless, we found a benefit of impregnated nets compared with no net use: adjusted odds ratio (OR) for mild malaria 0.44, 95% confidence interval (CI) 0.20-0.98. Nonimpregnated nets had a benefit that was only slightly smaller but not statistically significant (OR for mild malaria 0.54, 95% CI 0.25-1.18). Travel in the previous month had an odds ratio of 6.2 (95% CI 3.1-8.8) and a population attributable fraction of 13% compared with 11% for failure to use an impregnated net. We conclude that, in the Amazon region, promotion of mosquito net use and impregnation is justified, and that there is a need for measures to protect travelers from malaria. |
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We carried out a case-control study of net use and mild malaria in the Amazonas state of Colombia. Two hundred ninety cases were enrolled via the Health Department services, and 977 community-based controls matched for age, sex, and place of residence. We found that a large proportion of the population (96% of controls) slept under nets. Nevertheless, we found a benefit of impregnated nets compared with no net use: adjusted odds ratio (OR) for mild malaria 0.44, 95% confidence interval (CI) 0.20-0.98. Nonimpregnated nets had a benefit that was only slightly smaller but not statistically significant (OR for mild malaria 0.54, 95% CI 0.25-1.18). Travel in the previous month had an odds ratio of 6.2 (95% CI 3.1-8.8) and a population attributable fraction of 13% compared with 11% for failure to use an impregnated net. We conclude that, in the Amazon region, promotion of mosquito net use and impregnation is justified, and that there is a need for measures to protect travelers from malaria.</description><identifier>ISSN: 0002-9637</identifier><identifier>EISSN: 1476-1645</identifier><identifier>DOI: 10.4269/ajtmh.2005.73.140</identifier><identifier>PMID: 16014849</identifier><identifier>CODEN: AJTHAB</identifier><language>eng</language><publisher>Lawrence, KS: ASTMH</publisher><subject>Adolescent ; Adult ; Animals ; Bedding and Linens ; Biological and medical sciences ; Case-Control Studies ; Child ; Child, Preschool ; Colombia - epidemiology ; Demography ; Female ; Geography ; Human protozoal diseases ; Humans ; Infant ; Infectious diseases ; Malaria ; Malaria - epidemiology ; Malaria - prevention & control ; Male ; Medical sciences ; Middle Aged ; Mosquito Control - methods ; Parasitic diseases ; Plasmodium ; Protozoal diseases ; Temperature</subject><ispartof>The American journal of tropical medicine and hygiene, 2005-07, Vol.73 (1), p.140-148</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-c50c130c030bc997ee2689ffd9060be79036d10d6400e44c5b1f238ded3c8b7d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16953323$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16014849$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ALEXANDER, NEAL</creatorcontrib><creatorcontrib>RODRIGUEZ, MAURICIO</creatorcontrib><creatorcontrib>PEREZ, LIGIA</creatorcontrib><creatorcontrib>CAICEDO, JUAN CARLOS</creatorcontrib><creatorcontrib>CRUZ, JESUS</creatorcontrib><creatorcontrib>PRIETO, GUILLERMO</creatorcontrib><creatorcontrib>ARROYO, JOSE ANTONIO</creatorcontrib><creatorcontrib>COTACIO, MARIA CRISTINA</creatorcontrib><creatorcontrib>SUAREZ, MARTHA</creatorcontrib><creatorcontrib>DE LA HOZ, FERNANDO</creatorcontrib><creatorcontrib>HALL, ANDREW J</creatorcontrib><title>CASE-CONTROL STUDY OF MOSQUITO NETS AGAINST MALARIA IN THE AMAZON REGION OF COLOMBIA</title><title>The American journal of tropical medicine and hygiene</title><addtitle>Am J Trop Med Hyg</addtitle><description>The degree of effectiveness of mosquito nets against malaria in the Americas has remained uncertain. We carried out a case-control study of net use and mild malaria in the Amazonas state of Colombia. Two hundred ninety cases were enrolled via the Health Department services, and 977 community-based controls matched for age, sex, and place of residence. We found that a large proportion of the population (96% of controls) slept under nets. Nevertheless, we found a benefit of impregnated nets compared with no net use: adjusted odds ratio (OR) for mild malaria 0.44, 95% confidence interval (CI) 0.20-0.98. Nonimpregnated nets had a benefit that was only slightly smaller but not statistically significant (OR for mild malaria 0.54, 95% CI 0.25-1.18). Travel in the previous month had an odds ratio of 6.2 (95% CI 3.1-8.8) and a population attributable fraction of 13% compared with 11% for failure to use an impregnated net. We conclude that, in the Amazon region, promotion of mosquito net use and impregnation is justified, and that there is a need for measures to protect travelers from malaria.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Animals</subject><subject>Bedding and Linens</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Colombia - epidemiology</subject><subject>Demography</subject><subject>Female</subject><subject>Geography</subject><subject>Human protozoal diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Malaria</subject><subject>Malaria - epidemiology</subject><subject>Malaria - prevention & control</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mosquito Control - methods</subject><subject>Parasitic diseases</subject><subject>Plasmodium</subject><subject>Protozoal diseases</subject><subject>Temperature</subject><issn>0002-9637</issn><issn>1476-1645</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkMFvmzAcha1p1Zp1-wN6qXzZbqQ_Y2Pw0WU0RSJYDeSwXSwwpqGCpsOJov73JW2k9vQu33tP-hC6JDBnPhfX1eNu2Mx9gGAe0jlh8AXNCAu5RzgLvqIZAPie4DQ8R9-dewQgkU_IN3ROOBAWMTFDZSyLxItVXq5Uhoty_ecvVrd4qYr7dVoqnCdlgeVCpnlR4qXM5CqVOM1xeZdguZT_VI5XySKdYmrFKlPLm1T-QGdt1Tv785QXaH2blPGdl6lFGsvMMwz8nWcCMISCAQq1ESK01ueRaNtGAIfahgIobwg0nAFYxkxQk9anUWMbaqI6bOgF-v2--zxu_--t2-mhc8b2ffVkt3uneQSUAucTSN5BM26dG22rn8duqMYXTUAfVeo3lfqoUodUTyqnztVpfF8PtvlonNxNwK8TUDlT9e1YPZnOfeJEQKlPP7hN97A5dKPVbqj6fpol-nA4HO_eDl8B-niBwA</recordid><startdate>20050701</startdate><enddate>20050701</enddate><creator>ALEXANDER, NEAL</creator><creator>RODRIGUEZ, MAURICIO</creator><creator>PEREZ, LIGIA</creator><creator>CAICEDO, JUAN CARLOS</creator><creator>CRUZ, JESUS</creator><creator>PRIETO, GUILLERMO</creator><creator>ARROYO, JOSE ANTONIO</creator><creator>COTACIO, MARIA CRISTINA</creator><creator>SUAREZ, MARTHA</creator><creator>DE LA HOZ, FERNANDO</creator><creator>HALL, ANDREW J</creator><general>ASTMH</general><general>Allen Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050701</creationdate><title>CASE-CONTROL STUDY OF MOSQUITO NETS AGAINST MALARIA IN THE AMAZON REGION OF COLOMBIA</title><author>ALEXANDER, NEAL ; RODRIGUEZ, MAURICIO ; PEREZ, LIGIA ; CAICEDO, JUAN CARLOS ; CRUZ, JESUS ; PRIETO, GUILLERMO ; ARROYO, JOSE ANTONIO ; COTACIO, MARIA CRISTINA ; SUAREZ, MARTHA ; DE LA HOZ, FERNANDO ; HALL, ANDREW J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-c50c130c030bc997ee2689ffd9060be79036d10d6400e44c5b1f238ded3c8b7d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Animals</topic><topic>Bedding and Linens</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Colombia - epidemiology</topic><topic>Demography</topic><topic>Female</topic><topic>Geography</topic><topic>Human protozoal diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Infectious diseases</topic><topic>Malaria</topic><topic>Malaria - epidemiology</topic><topic>Malaria - prevention & control</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mosquito Control - methods</topic><topic>Parasitic diseases</topic><topic>Plasmodium</topic><topic>Protozoal diseases</topic><topic>Temperature</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ALEXANDER, NEAL</creatorcontrib><creatorcontrib>RODRIGUEZ, MAURICIO</creatorcontrib><creatorcontrib>PEREZ, LIGIA</creatorcontrib><creatorcontrib>CAICEDO, JUAN CARLOS</creatorcontrib><creatorcontrib>CRUZ, JESUS</creatorcontrib><creatorcontrib>PRIETO, GUILLERMO</creatorcontrib><creatorcontrib>ARROYO, JOSE ANTONIO</creatorcontrib><creatorcontrib>COTACIO, MARIA CRISTINA</creatorcontrib><creatorcontrib>SUAREZ, MARTHA</creatorcontrib><creatorcontrib>DE LA HOZ, FERNANDO</creatorcontrib><creatorcontrib>HALL, ANDREW J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of tropical medicine and hygiene</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ALEXANDER, NEAL</au><au>RODRIGUEZ, MAURICIO</au><au>PEREZ, LIGIA</au><au>CAICEDO, JUAN CARLOS</au><au>CRUZ, JESUS</au><au>PRIETO, GUILLERMO</au><au>ARROYO, JOSE ANTONIO</au><au>COTACIO, MARIA CRISTINA</au><au>SUAREZ, MARTHA</au><au>DE LA HOZ, FERNANDO</au><au>HALL, ANDREW J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CASE-CONTROL STUDY OF MOSQUITO NETS AGAINST MALARIA IN THE AMAZON REGION OF COLOMBIA</atitle><jtitle>The American journal of tropical medicine and hygiene</jtitle><addtitle>Am J Trop Med Hyg</addtitle><date>2005-07-01</date><risdate>2005</risdate><volume>73</volume><issue>1</issue><spage>140</spage><epage>148</epage><pages>140-148</pages><issn>0002-9637</issn><eissn>1476-1645</eissn><coden>AJTHAB</coden><abstract>The degree of effectiveness of mosquito nets against malaria in the Americas has remained uncertain. We carried out a case-control study of net use and mild malaria in the Amazonas state of Colombia. Two hundred ninety cases were enrolled via the Health Department services, and 977 community-based controls matched for age, sex, and place of residence. We found that a large proportion of the population (96% of controls) slept under nets. Nevertheless, we found a benefit of impregnated nets compared with no net use: adjusted odds ratio (OR) for mild malaria 0.44, 95% confidence interval (CI) 0.20-0.98. Nonimpregnated nets had a benefit that was only slightly smaller but not statistically significant (OR for mild malaria 0.54, 95% CI 0.25-1.18). Travel in the previous month had an odds ratio of 6.2 (95% CI 3.1-8.8) and a population attributable fraction of 13% compared with 11% for failure to use an impregnated net. 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subjects | Adolescent Adult Animals Bedding and Linens Biological and medical sciences Case-Control Studies Child Child, Preschool Colombia - epidemiology Demography Female Geography Human protozoal diseases Humans Infant Infectious diseases Malaria Malaria - epidemiology Malaria - prevention & control Male Medical sciences Middle Aged Mosquito Control - methods Parasitic diseases Plasmodium Protozoal diseases Temperature |
title | CASE-CONTROL STUDY OF MOSQUITO NETS AGAINST MALARIA IN THE AMAZON REGION OF COLOMBIA |
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