Increasing burden of childhood severe malaria in a Nigerian tertiary hospital: implication for control

Adebola Emmanuel Orimadegun1, Olufunmi Fawole, James Okorie Okereke

  • 1Department of Paediatrics, University College Hospital, Ibadan, Nigeria. beorimadegun@yahoo.com

Insights

Severe malaria significantly impacts Nigerian children, especially those under five, with increasing hospitalizations and a high fatality rate. Severe malarial anemia is a major concern, necessitating a review of current malaria control strategies.

Area of Science:

  • Public Health
  • Pediatrics
  • Infectious Diseases

Background:

  • Malaria is a significant public health issue in Nigeria, disproportionately affecting child and maternal health.
  • The burden of severe malaria among Nigerian children has been underreported, hindering effective strategy evaluation.

Purpose of the Study:

  • To document the hospital burden of severe malaria in children admitted to the University College Hospital, Ibadan.
  • To inform the impact and health implications of current malaria control strategies in Nigeria.

Main Methods:

  • Retrospective review of 6-year case records (2000-2005) of children admitted to the emergency ward.
  • Severe malaria cases defined by confirmed parasitaemia (blood film microscopy) and WHO criteria.

Main Results:

  • Severe malaria accounted for 11.3% of pediatric admissions, with 89.1% in children under five.
  • The yearly proportional morbidity rate increased significantly from 2000 to 2004 (P < 0.001).
  • Severe malarial anemia was more common than cerebral malaria and associated with high mortality (9.6% case fatality rate).

Conclusions:

  • There is an increasing trend in severe malaria morbidity among hospitalized Nigerian children.
  • Factors associated with malaria deaths include wasting, young age, hypoglycemia, and respiratory distress.
  • Current malaria control strategies in Nigeria may require review due to the persistent high burden of severe malaria.

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