@article{fdi:010035726,
  title = {{L}ow autochtonous urban malaria in {A}ntananarivo ({M}adagascar)},
  author = {{R}abarijaona, {L}.{P}. and {A}riey, {F}. and {M}atra, {R}. and {C}ot, {S}. and {R}aharimalala, {A}.{L}. and {R}anaivo, {L}.{H}. and {L}e {B}ras, {J}. and {R}obert, {V}incent and {R}andrianarivelojosia, {M}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {T}he study of urban malaria is an area undergoing rapid expansion, after many years of neglect. {T}he problem of over-diagnosis of malaria, especially in low transmission settings including urban areas, is also receiving deserved attention. {T}he primary objective of the present study was to assess the frequency of malaria among febrile outpatients seen in private and public primary care facilities of {A}ntananarivo. {T}he second aim was to determine, among the diagnosed malaria cases, the contribution of autochthonous urban malaria. {M}ethods: {T}wo cross-sectional surveys in 43 health centres in {A}ntananarivo in {F}ebruary 2003 ( rainy season) and in {J}uly 2003 ( dry season) were conducted. {C}onsenting clinically suspected malaria patients with fever or history of fever in the past 48 hours were included. {M}alaria rapid diagnostic tests and microscopy were used to diagnose malaria. {B}asic information was collected from patients to try to identify the origin of the infection: autochthonous or introduced. {R}esults: {I}n {F}ebruary, among 771 patients, 15 (1.9%) positive cases were detected. {T}hree malaria parasites were implicated: {P}lasmodium. falciparum ( n = 12), {P}lasmodium vivax ( n = 2) and {P}lasmodium. ovale ( n = 1). {O}nly two cases, both {P}. falciparum, were likely to have been autochthonous (0.26%). {I}n {J}uly, among 739 blood smears examined, 11 (1.5%) were positive: {P}. falciparum ( n = 9) and {P}. vivax ( n = 2). {T}hree cases of {P}. falciparum malaria were considered to be of local origin (0.4%). {C}onclusion: {T}his study demonstrates that malaria cases among febrile episodes are low in {A}ntananarivo and autochthonous malaria cases exist but are rare.},
  keywords = {},
  booktitle = {},
  journal = {{M}alaria {J}ournal},
  volume = {5},
  numero = {},
  pages = {art. no. 27 -- {NIL}_1--{NIL}_9},
  ISSN = {1475-2875},
  year = {2006},
  DOI = {10.1186/1475-2875-5-27},
  URL = {https://www.documentation.ird.fr/hor/fdi:010035726},
}