الملاريا في ولاية شمال دارفور

Abstract

Abstract A perspective and a retrospective study to evaluate and document the Prevalence of malaria ill Northern . Dar Fur was undertaken during the period of November 1998 - November 1999 . the study was confined to the elementary schools children as representative to the population of the towns of Fashir, Kutum , Kabkabya and Umkaddada . The study established the presence of malaria throughout the year , and that the classical symptoms of headaches, fever, nausea etc.., were accentuated by malaria in 94.7% of the cases presenting in Fashir , 84. 7% in Kutum, 74.6% in Kabkabya, and 56.7% in Umkaddada. The causative agent was positively identified as E. falciparum in 92.25- 100 % of the cases presenting to hospitals. Out of 400 cases of malaria closely monitored , only 55. 75 % were cured after treatment with chloroquine , the rest 44 .25 needed further treatment with antimalarials such as Fansidar or qLIl111116. L . The retrospective study of the statistics of the Ministry of records revealed that malaria was responsible for over 30% of the hospital admissions. Amongst school children malaria cause an average of 2.59 days / month of school absentees compared to an average of 1.08 days / month for all other diseases, thus making malaria the 1naill cause for schooling disruption . Comparison of the incidence of malaria in Northern Dar Fur with the national average in all other parts of Sudan indicated that the incidence of malaria is steadily increasing in N.Dar Fur especially in years of high rainfall . The need for evaluation of malaria resistance to chloroquine in N . Dar was indicated together with suggestions for improving the environmental health standards to levy the situation and threat of malaria in N. Dar Fur .