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Malaria in children - experience from Asir region, Saudi Arabia
S H Annobil1, T C Okeahialam, G A Jamjoom
1Departments of Pediatrics and Microbiology, College of Medicine, King Saud University, Abha, and Department of Pediatrics, Asir Central Hospital, Abha, Saudi Arabia.
Insights
Malaria is a significant concern in Saudi Arabia
Area of Science:
- Tropical Medicine
- Pediatric Infectious Diseases
- Epidemiology
Background:
- Malaria remains a public health challenge in endemic regions.
- Children under four years old are particularly vulnerable.
- The Asir region of Saudi Arabia presents a unique epidemiological profile for malaria.
Purpose of the Study:
- To investigate the incidence and clinical characteristics of malaria in children.
- To identify risk factors and seasonal patterns of malaria infection.
- To evaluate treatment outcomes and propose prevention strategies.
Main Methods:
- Retrospective analysis of pediatric cases with fever and hepatosplenomegaly.
- Data collection over a five-year period at Asir Central Hospital.
- Clinical findings, treatment responses, and patient outcomes were recorded.
Main Results:
- 233 malaria cases (2.4%) diagnosed in 9259 children.
- Majority of cases occurred in children under four from the Tihama valley.
- Seasonal occurrence noted between December and May; anemia was a common comorbidity.
- Most cases responded to chloroquine, but severe cases required quinine or Fansidar.
- Two deaths occurred, one from cerebral malaria and another from severe hemolytic anemia.
Conclusions:
- Malaria is endemic in the Asir region, predominantly affecting young children.
- An integrated prevention program is crucial, including permethrin-impregnated bednets, prompt treatment, and health education.
- Addressing nutritional deficiencies, such as iron deficiency anemia, is important for comprehensive care.
Abstract:
During a five year period, 233 cases of malaria (2.4%) were diagnosed among 9259 children with fever and hepatosplenomegaly seen in Asir Central Hospital, Abha, Saudi Arabia. The majority of these were below four years of age and came from Tihama, a hot, humid valley area in the Asir region. The infection was seasonal and occurred between December and May. Apart from fever, vomiting and hepatosplenomegaly, anemia was a common clinical finding; this was partly due to iron deficiency anemia, probably nutritional. Most of the cases responded to chloroquine therapy; however, three required intravenous quinine and two received Fansidar to effect eradication of the parasitemia. During the study, two patients died, one from cerebral malaria and the other from severe hemolytic anemia and hemoglobinuria. For prevention of malaria in this endemic area, an integrated program is advocated that includes the use of bednets impregnated with permethin, adequate treatment of proven cases and intensive health education on malaria control and nutrition.
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