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.

Annals of Saudi Medicine
|November 1, 1994
PubMed

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.

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