传染病学英文版课件：ADULT AND CHILD MALARIA MORTALITY IN INDIA.ppt

CGHR.ORGADULT AND CHILD MALARIA MORTALITY IN INDIA CGHR.ORGConclusionsMalaria deaths should not occur with basic health services: prompt diagnosis and treatment are effectiveIndia had over 200,000 avoidable malaria deaths (55,000 child, 30,000 at ages 5-14, 120,000 ages 15-69) in 2005 Reconsider WHO total of 5,000 child and 10,000 adult malaria deaths in India and 100,000 adult malaria deaths worldwide CGHR.ORGWhat’s new about this research?Large, nationally representative sample of all deaths based on household interviews with familiesThe study results reflects the whole of IndiaThis is NOT a study of properly treated malaria patients (in whom few deaths occur) CGHR.ORGNationally representative sample(Sample Registration System)6,671 of these small areas randomly chosen from all parts of India (each with about 1000 people per area) CGHR.ORGHow was the study done?800 Registrar of General India field workers interviewed 122 thousand families of people who had died in 2001-2003Written reports each coded independently by at least two physicians to attribute a probable cause to each death (i.e. malaria)Coded malaria deaths likely represent malaria, despite the potential for misclassification CGHR.ORGHow was the study done?Calculate proportion of malaria deaths in each age group within the studyCombine with national 2005 UN totals of deaths in each age groupProduce national (and state) estimates of numbers of malaria deaths at various ages CGHR.ORGMalaria-attributed deaths in the present study by age Study deaths, 2001-2003Age rangeMalaria deaths/ all coded deathsProportion malaria1 months4/108920·0%1-59 months587/122604·2%5-14 years349/38818·3%15-29 years388/91213·6%30-44 years319/108722·5%45-59 years500/181332·6%60-69 years538/211362·5%Subtotal, ages 0-69 years (lower, upper bounds)2685/867732·8%(2.0 , 3.7)70 +972/360572·7%3·6% at ages 1 month-69 years CGHR.ORGMalaria deaths before age 70 in the study90% (2422/2685) were in rural areas86% (2315/2685) did not occur at a