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
Hauptverfasser: 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
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container_title The American journal of tropical medicine and hygiene
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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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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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