%0 Journal Article %1 RefWorks:312 %A Erhart, A. %A Thang, N. D. %A Bien, T. H. %A Tung, N. M. %A Hung, N. Q. %A Hung, L. X. %A Tuy, T. Q. %A Speybroeck, N. %A Cong, L. D. %A Coosemans, M. %A D'Alessandro, U. %D 2004 %J Tropical Medicine & International Health %K & (Vietnam Cambodia); DIAGNOSIS; DISEASES; Delta Delta; EPIDEMIOLOGY; MALARIA; MEKONG Mekong P. PUBLIC Plasmodium River care falciparum; health health; over-treatment; private providers; transmission vivax; %N 10 %P 1081-1090 %T Malaria epidemiology in a rural area of the Mekong Delta: a prospective community-based study %U http://search.ebscohost.com/login.aspx?direct=true&db=aph&AN=14700651&site=ehost-live %V 9 %X Over the past 10 years, the Mekong Delta region in Vietnam has experienced fast socio-economic development with subsequent changes in malaria vectors ecology. We conducted a 2-year prospective community-based study in a coastal rural area in the southern Mekong Delta to re-assess the malaria epidemiological situation and the dynamics of transmission. The incidence rate of clinical malaria, established on 558 individuals followed for 23 months by active case detection and biannual cross-sectional surveys, was 2.6/100 person-years. Over the 2-year study period, the parasite rate and malaria seroprevalence (Plasmodium falciparumandP. vivax) decreased significantly from 2.4% to almost 0%. Passive case detection (PCD) of clinical cases and serological follow-up of newborns carried out in a larger population confirmed the low and decreasing trend of malaria transmission. The majority of fever cases were seen in the private sector and most were unnecessarily treated with antimalarials. Training and involvement of the private sector in detection of malaria cases would greatly improve the quality of health care and health information system. ABSTRACT FROM AUTHOR; Copyright of Tropical Medicine & International Health is the property of Blackwell Publishing Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts) %@ 13602276

@article{RefWorks:312, abstract = {Over the past 10 years, the Mekong Delta region in Vietnam has experienced fast socio-economic development with subsequent changes in malaria vectors ecology. We conducted a 2-year prospective community-based study in a coastal rural area in the southern Mekong Delta to re-assess the malaria epidemiological situation and the dynamics of transmission. The incidence rate of clinical malaria, established on 558 individuals followed for 23 months by active case detection and biannual cross-sectional surveys, was 2.6/100 person-years. Over the 2-year study period, the parasite rate and malaria seroprevalence (Plasmodium falciparumandP. vivax) decreased significantly from 2.4% to almost 0%. Passive case detection (PCD) of clinical cases and serological follow-up of newborns carried out in a larger population confirmed the low and decreasing trend of malaria transmission. The majority of fever cases were seen in the private sector and most were unnecessarily treated with antimalarials. Training and involvement of the private sector in detection of malaria cases would greatly improve the quality of health care and health information system. [ABSTRACT FROM AUTHOR]; Copyright of Tropical Medicine & International Health is the property of Blackwell Publishing Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts)}, added-at = {2008-12-27T17:34:46.000+0100}, author = {Erhart, A. and Thang, N. D. and Bien, T. H. and Tung, N. M. and Hung, N. Q. and Hung, L. X. and Tuy, T. Q. and Speybroeck, N. and Cong, L. D. and Coosemans, M. and D'Alessandro, U.}, biburl = {https://www.bibsonomy.org/bibtex/2751849525ff29b10fb8c1312046c5d8b/critzo}, description = {test export from refworks}, interhash = {d655c89cfd07043ffab2bd80b8843196}, intrahash = {751849525ff29b10fb8c1312046c5d8b}, isbn = {13602276}, journal = {Tropical Medicine & International Health}, keywords = {& (Vietnam Cambodia); DIAGNOSIS; DISEASES; Delta Delta; EPIDEMIOLOGY; MALARIA; MEKONG Mekong P. PUBLIC Plasmodium River care falciparum; health health; over-treatment; private providers; transmission vivax;}, month = {10}, note = {M3: Article; Accession Number: 14700651; Erhart, A. 1 Thang, N. D. 2 Bien, T. H. 3 Tung, N. M. 3 Hung, N. Q. 4 Hung, L. X. 2 Tuy, T. Q. 2 Speybroeck, N. 1 Cong, L. D. 2 Coosemans, M. 1 D'Alessandro, U. 1; Affiliation: 1: Institute of Tropical Medicine Prince Leopold, Antwerp, Belgium 2: National Institute for Malariaology, Parasitology and Entomology (NIMPE), Hanoi, Vietnam 3: Provincial Malaria Station (PMS), Bac Lieu, Vietnam 4: Institute for Malariology, Parasitology and Entomology (IMPE), Ho Chi Minh City, Vietnam; Source Info: Oct2004, Vol. 9 Issue 10, p1081; Subject Term: MALARIA; Subject Term: EPIDEMIOLOGY; Subject Term: DIAGNOSIS; Subject Term: PUBLIC health; Subject Term: DISEASES; Subject Term: MEKONG River Delta (Vietnam & Cambodia); Author-Supplied Keyword: malaria; Author-Supplied Keyword: Mekong Delta; Author-Supplied Keyword: over-treatment; Author-Supplied Keyword: P. vivax; Author-Supplied Keyword: Plasmodium falciparum; Author-Supplied Keyword: private health care providers; Author-Supplied Keyword: transmission; NAICS/Industry Codes: 525120 Health and Welfare Funds; Number of Pages: 10p; Document Type: Article}, number = 10, pages = {1081-1090}, timestamp = {2008-12-27T17:34:52.000+0100}, title = {Malaria epidemiology in a rural area of the Mekong Delta: a prospective community-based study}, url = {http://search.ebscohost.com/login.aspx?direct=true&db=aph&AN=14700651&site=ehost-live}, volume = 9, year = 2004 }