B Prajapati, A Patel, M Patel
B Prajapati, A Patel, M Patel. Study Of Hospital Based Malaria Cases In Mehsana District Of North Gujarat. The Internet Journal of Third World Medicine. 2006 Volume 5 Number 1.
Background and Objectives: Malaria is a very prone disease in rural India and it continues to be a major public health problem in many other tropical countries. The objective of present study is to found present scenario of malaria in Mehsana district of North Gujarat region.
Methods: In present study we collect data from 1999 to 2005, five years of patients who found to be positive with malarial symptoms from central hospital of Mehsana district. We also collect the data of month wise distribution of number of patients under gone check up for malarial parasite and found positive with the kind of malarial infection.
Results: During the year 1999 and 2005 positive case of malaria were found respectively 334 and 226. From compile data of six years one can say that as year progressing there is gradual decrease in no of positive patients. Out of 207 malarial cases in last year (2005), maximum number of cases 47 (22.7%) were reported in this hospital during a month of august and 149 cases were reported during months of July to October; monsoon season. Our result suggests that 92 % of cases are due to P. vivax and only 8% of total cases are due to P. falciparum.
Interpretation and Conclusion: There is high prevalence of P. vivax as compare to P. falciparum infections. The maximum number of cases was reported in month of August and September which conclude that malaria is a seasonal disease.
Malaria has been a scourge of the mankind for centuries. At its name implies
The present study reviles the year and month wise distribution of number of patients visiting the hospital, found positive with fever, tested for malaria and the type of malaria present starting from January 1999 to February 2006. This study also looked at the number of patients observed positive with Falciparum and Vivax type of malarias.
The total patients attended the hospital for various ailments including OPD and indoor patients were considered as the hospital population during the study period. Peripheral blood was collected and examined for malarial parasite, of any of the patients who had clinical features suggestive of malaria—history of fever with chills and rigors, enlargement of spleen, secondary anemia, etc. The thick and thin blood films were prepared. The prepared slides were checked by the hospital pathologist. The detailed medical records of all those who were positive for malaria parasite were maintained. The species of the parasite and also the stages in which the parasite were seen also noted. Slide positive rate (SPR), and slide falciparum rate (SfR) were calculated using the standard formula. Approximate 0.6 million of patients attended this hospital for various ailments during the study period of five years and of these 47561 patients who had clinical history of fever were examined for malaria parasites. Out of the 47561 slides examined during five years of study, 1341 slides were positive for malaria parasites (1237 P. vivax and 104
Year Wise Distribution Details 1999 To 2005
During the year 1999 and 2005 positive case of malaria were found respectively 334 and 226. The detail of data from 1999 to 2005 including the specific type malaria is given in Table 1 & Figure 1. From compile data of six years one can say that as year progressing there is gradual decrease in no of positive patients. The same may be due to increase in awareness of malaria in rural area, increase in education and proper precautionary steps conducted by government against malaria. In year 2004 there are some higher number of positive cases is there may be due to seasonal change.
Month Wise Destribution For Last Year
All the malaria positive patients received antimalarials like chloroquine, quinine (quinolone derivative), primaquine and mefloquine as per the drug policy. No death was reported in malaria patients. Out of 207 malarial cases in last year (2005), maximum number of cases 47 (22.7%) were reported in this hospital during a month of august and 149 cases were reported during months of July to October; monsoon season (Figure 2).
Malaria, a seasonal disease, in most parts of India; the maximal prevalence is from July to October. Good rainfall, relative humidity of 60% and temperature between 20 and 30°C favor the spread of malaria. According to a study conducted by Bonnlander
In India, about 70% of the infections are reported to be due to
From the study of 1999 to 2005 for malarial infection in hospital of Mehsana district of North Gujarat, India, it can be concluded that there is high prevalence of
We sincerely thank the staff of the Mehsana civil hospital for their cooperation in the course of this study.
Bhupendra G. Prajapati Shree S.K.Patel College of Pharmaceutical Education and Research, Ganpat Vidyanagar, Kherva-Mehsana-382711, North Gujarat, India. Email: email@example.com