Title |
Malaria control along China-Myanmar Border during 2007–2013: an integrated impact evaluation
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Published in |
Infectious Diseases of Poverty, August 2016
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DOI | 10.1186/s40249-016-0171-4 |
Pubmed ID | |
Authors |
Jian-Wei Xu, Yong Li, Heng-Lin Yang, Jun Zhang, Zai-Xing Zhang, Ya-Ming Yang, Hong-Ning Zhou, Joshua Havumaki, Hua-Xian Li, Hui Liu, Hua Zhou, Xin-Yu Xie, Jia-Xiang Dong, Yue Zhang, Xiao-Ying Sun, Bo Li, Jia-Yin Li, Yang-Hui Tian, Pi-Yu Wang, Ben-Fu Li |
Abstract |
Implementing effective interventions remain a lot of difficulties along all border regions. The emergence of artemisinin resistance of Plasmodium falciparum strains in the Greater Mekong Subregion is a matter of great concern. China has effectively controlled cross-border transmission of malaria and artemisinin resistance of P. falciparum along the China-Myanmar border. A combined quantitative and qualitative study was used to collect data, and then an integrated impact evaluation was conducted to malaria control along the China-Myanmar border during 2007-2013. The parasite prevalence rate (PPR) in the five special regions of Myanmar was decreased from 13.6 % in March 2008 to 1.5 % in November 2013. Compared with the baseline (PPR in March 2008), the risk ratio was only 0.11 [95 % confidence interval (CI), 0.09-0. 14) in November 2013, which is equal to an 89 % reduction in the malaria burden. Annual parasite incidence (API) across 19 Chinese border counties was reduced from 19.6 per 10 000 person-years in 2006 to 0.9 per 10 000 person-years in 2013. Compared with the baseline (API in 2006), the API rate ratio was only 0.05(95 % CI, 0.04-0.05) in 2013, which equates to a reduction of the malaria burden by 95.0 %. Meanwhile, the health service system was strengthened and health inequity of marginalized populations reduced along the international border. The effective collaboration between China, Myanmar and the international non-governmental organization promptly carried out the core interventions through simplified processes. The integrated approaches dramatically decreased malaria burden of Chinese-Myanmar border. |
X Demographics
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Unknown | 2 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 79 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 13 | 16% |
Student > Master | 11 | 14% |
Student > Bachelor | 8 | 10% |
Student > Ph. D. Student | 6 | 8% |
Other | 4 | 5% |
Other | 11 | 14% |
Unknown | 26 | 33% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 14 | 18% |
Nursing and Health Professions | 10 | 13% |
Agricultural and Biological Sciences | 9 | 11% |
Social Sciences | 5 | 6% |
Immunology and Microbiology | 4 | 5% |
Other | 8 | 10% |
Unknown | 29 | 37% |