Medicine an Surgery notes

Apr 25th, 2015
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introduction Malaria is one of the leading causes of morbidityand mortality more in children under five years of age in Kenya. Plasmodium falciparum is the commonest causeof malaria. (98.2 %) P. malariae, P.ovale is 1.8% often occurring asmixed infections. P.vivax may account for up to 40-50 % (oftenmixed with P.falciparum) in the Northern and North Eastern parts of Kenya.Determinants of EpidemiologyGDPClimatic factors Rainfall, temperature,Resource availability Political will, health infrastructureAltitudeConflictsFirst line treatment & availabilityVector and Vectorial competence Predominant vectorHost genetic polymorphisms Hgbpathies, RBC & vascular receptorsMalaria Parasite falciparum, Malariae, ovale & vivaxDeterminants of MalariaVectorParasiteEnvironmentHostPOVERTYMALARIAEpidemiology y of malaria in Kenya Kenya has four malaria epidemiological zones,with diversity in risk Endemic: Areas of stable malaria havealtitudes ranging from 0 to 1,300 metresaround Lake Victoria in western Kenya and in thecoastal regions Endemic: Areas of stable malaria have altitudesranging from 0 to 1,300 metres around Lake Victoria in western Kenya and in the coastalregions Seasonal transmission: Arid and semi-arid areasof northern and south-eastern Epidemic prone areas of western highlands ofKenya Low risk malaria areas: This zone

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