Sensitivity of Falciparum Malaria to Chloroquine & the Economical Impact of the Disease in Kenana Sugar Project
Sensitivity of Falciparum Malaria to Chloroquine & the Economical Impact of the Disease in Kenana Sugar Project
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Date
2015-04-06
Authors
Elkenein, Mutasim Babiker
Journal Title
Journal ISSN
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Publisher
University of Khartoum
Abstract
The study, which composed of two parts, was conducted in the period
2004/2006 in Kenana Sugar Company Project. The first part intended to
determine the sensitivity of plasmodiumfalciparum to chloroquine in the
daily routine treatment of simple malaria in Kenana health centers. For
this purpose the first 50 simple malaria outpatients with a confirmed
positive blood film (BFFM) and a definiteparasite count, infour different
located health centers (HC A2, HC A3, HC A6 and Factory HC), were
followed up for four weeks while under treatment with chloroquine. The
treatment failure rate was found tobe 20% - 22%, which indicates a
sensitivity or response of 78 – 80% to CQ.
The malaria prevalence in the area companing with other disease was
determined and it was found to be37%, 28% and 15% throw the years
2004/2005 and 2006 respectively.
The mortality due to malaria showed a decline rate from 0.97% to 0.14%
till 0.0% throw the year 2004, 2005 and 2006 respectively. It is an
indication of an effort of combating malaria and case management.
It was found that the positive blood film slides showed low percentages;
8% in the Clinic, 13% in the hospital and 23% in the factory health
center.
The second part was set to determine the economical impact of malaria as
a socio-economical burden on Kenana Sugar Company. To achieve this,
three groups each of 50 patients were considered.
Group I: Malaria in-patient (employees)
Group II: Malaria in-patient (employees sponsors)
Group III: Malaria out-patient (employees plus their sponsors)
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The cost of illness as a pharmaco-ecnomic method was applied to
determine the direct and the indirect costs for each group.
The total cost of malaria was compared to health annual budget and the
environmental health component.
In this study the cost of malaria in2004/2005 was found to be 100 million
SD. That was equal to 21,75%of the health services budget, (HSB) and
1,4%of the total payroll. The malaria combat swallowed 18.7%of the
environmental health budget
Description
102 Pages
Keywords
Falciparum Malaria; Kenana Sugar Projec; Health Centers; Blood