Distribution of Malaria Infection Among Different Genotypes in Three Senatorial Zones of Taraba State Nigeria

Elkana D.S., Otoikhian, C.S.O, Bosah, B.O
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Abstract

Malaria infection is recognized as a severe public health problem linked to most cases of morbidity and mortality in malaria endemic areas. The study was used to determine the distribution of malaria infection among the different genotypes in three senatorial zones in Taraba state. The study employed a community and laboratory based cross sectional study. The electrophoresis machine was used to determine the genotypes of the research subjects while Rapid diagnostic technique and the gold standard microscopy was used to determine the prevalence of malaria infection. The haematology auto-analyzer (Sysmex XTI 2000) was used to determine the haematological parameters of the subjects. A total of 3084 blood samples was obtained by venepuncture. The distribution of the genotypes are AA 1721 (55.8%), AS 966 (31.3%) and SS 397 (12.9%). The overall prevalence of malaria was 620 (20.1%). Malaria infection was highest in the southern senatorial zone (29.1%) than in the north and central zones (p<0.05). Infection was high with the males (21.2%), age-related malaria infection was significant (p<0.05) with age 1-10yrs recording the highest infection (28.0%). No significant difference (p>0.00) was recorded in the marital status of the patient with the widows/widower having 23.4% while degree of infection was significant for education-related infection (p<0.05) with the non-educated subjects recording highest infection (34.4%). Occupational related prevalence was significant (p<0.05) with high infection among traders (162 (28.7%). Significant difference was recorded in the marital status with the widow/widower recording a high prevalence of malaria 112 (23.4%). Our finding in the current study confirm that malaria remains a major challenge and there is need for periodic prophylactic administration of malaria drugs in the treatment regime of sickle cell anaemia patients. Keywords: Malaria infection, genotypes, distribution, senatorial zones, Taraba State, Nigeria
尼日利亚塔拉巴州三个参议院区不同基因型疟疾感染的分布情况
疟疾感染被认为是一个严重的公共卫生问题,与疟疾流行地区的大多数发病和死亡病例有关。这项研究用于确定塔拉巴州三个参议院区不同基因型的疟疾感染分布情况。研究采用了基于社区和实验室的横断面研究。电泳仪用于确定研究对象的基因型,而快速诊断技术和金标准显微镜则用于确定疟疾感染率。血液自动分析仪(Sysmex XTI 2000)用于确定研究对象的血液参数。通过静脉穿刺共采集了 3084 份血液样本。受试者的基因型分布为 AA 1721(55.8%)、AS 966(31.3%)和 SS 397(12.9%)。疟疾的总体流行率为 620(20.1%)。南部参议院区的疟疾感染率最高(29.1%),北部和中部地区最低(P0.00)。根据患者的婚姻状况,寡妇/鳏夫的感染率为 23.4%,而感染程度与受教育程度有关(P<0.05),非受教育者的感染率最高(34.4%)。与职业相关的感染率也有显著差异(P<0.05),商人的感染率较高(162 人(28.7%))。婚姻状况有显著差异,寡妇/鳏夫的疟疾感染率较高,为 112(23.4%)。我们在本次研究中的发现证实,疟疾仍然是一项重大挑战,有必要在镰状细胞贫血患者的治疗方案中定期使用预防疟疾的药物:疟疾感染、基因型、分布、参议院区、塔拉巴州、尼日利亚
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