@article{fdi:010081061,
  title = {{M}alaria in {C}ambodia : a retrospective analysis of a changing epidemiology 2006-2019},
  author = {{C}hhim, {S}. and {P}iola, {P}. and {H}ousen, {T}. and {H}erbreteau, {V}incent and {T}ol, {B}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {I}n {C}ambodia, malaria persists with changing epidemiology and resistance to antimalarials. {T}his study aimed to describe how malaria has evolved spatially from 2006 to 2019 in {C}ambodia. {M}ethods: {W}e undertook a secondary analysis of existing malaria data from all government healthcare facilities in {C}ambodia. {T}he epidemiology of malaria was described by sex, age, seasonality, and species. {S}patial clusters at the district level were identified with a {P}oisson model. {R}esults: {O}verall, incidence decreased from 7.4 cases/1000 population in 2006 to 1.9 in 2019. {T}he decrease has been drastic for females, from 6.7 to 0.6/1000. {A}dults aged 15-49 years had the highest malaria incidence among all age groups. {T}he proportion of {P}lasmodium ({P}.) falciparum + {M}ixed among confirmed cases declined from 87.9% (n = 67,489) in 2006 to 16.6% (n = 5290) in 2019. {C}lusters of {P}. falciparum + {M}ixed and {P}. vivax + {M}ixed were detected in forested provinces along all national borders. {C}onclusions: {T}here has been a noted decrease in {P}. falciparum cases in 2019, suggesting that an intensification plan should be maintained. {A} decline in {P}. vivax cases was also noted, although less pronounced. {I}nterventions aimed at preventing new infections of {P}. vivax and relapses should be prioritized. {A}ll detected malaria cases should be captured by the national surveillance system to avoid misleading trends.},
  keywords = {malaria ; surveillance ; spatial analysis ; cluster ; epidemiology ; {GIS} trend ; {C}ambodia ; {CAMBODGE}},
  booktitle = {},
  journal = {{I}nternational {J}ournal of {E}nvironmental {R}esearch and {P}ublic {H}ealth},
  volume = {18},
  numero = {4},
  pages = {1960 [20 ]},
  year = {2021},
  DOI = {10.3390/ijerph18041960},
  URL = {https://www.documentation.ird.fr/hor/fdi:010081061},
}