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dc.contributor.authorMaes, Peteren_US
dc.contributor.authorHarries, Anthony D.en_US
dc.contributor.authorVan den Bergh, Rafaelen_US
dc.contributor.authorNoor, Abdisalanen_US
dc.contributor.authorSnow, Robert W.en_US
dc.contributor.authorTayler-Smith, Katherineen_US
dc.contributor.authorHinderaker, Sven Gudmunden_US
dc.contributor.authorZachariah, Ronyen_US
dc.contributor.authorAllan, Richarden_US
dc.description.abstractBackground: Atypical environmental conditions with drought followed by heavy rainfall and flooding in arid areas in sub- Saharan Africa can lead to explosive epidemics of malaria, which might be prevented through timely vector-control interventions. Objectives: Wajir County in Northeast Kenya is classified as having seasonal malaria transmission. The aim of this study was to describe in Wajir town the environmental conditions, the scope and timing of vector-control interventions and the associated resulting burden of malaria at two time periods (1996–1998 and 2005–2007). Methods: This is a cross-sectional descriptive and ecological study using data collected for routine program monitoring and evaluation. Results: In both time periods, there were atypical environmental conditions with drought and malnutrition followed by massive monthly rainfall resulting in flooding and animal/human Rift Valley Fever. In 1998, this was associated with a large and explosive malaria epidemic (weekly incidence rates peaking at 54/1,000 population/week) with vector-control interventions starting over six months after the massive rainfall and when the malaria epidemic was abating. In 2007, vectorcontrol interventions started sooner within about three months after the massive rainfall and no malaria epidemic was recorded with weekly malaria incidence rates never exceeding 0.5 per 1,000 population per week. Discussion and Conclusion: Did timely vector-control interventions in Wajir town prevent a malaria epidemic? In 2007, the neighboring county of Garissa experienced similar climatic events as Wajir, but vector-control interventions started six months after the heavy un-seasonal rainfall and large scale flooding resulted in a malaria epidemic with monthly incidence rates peaking at 40/1,000 population. In conclusion, this study suggests that atypical environmental conditions can herald a malaria outbreak in certain settings. In turn, this should alert responsible stakeholders about the need to act rapidly and preemptively with appropriate and wide-scale vector-control interventions to mitigate the risk.en_US
dc.rightsAttribution CC BYeng
dc.titleCan timely vector control interventions triggered by atypical environmental conditions prevent malaria epidemics? A case-study from Wajir County, Kenyaen_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2014 2014 Maes et al.
dc.source.journalPLoS ONE

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