The co-distribution of Plasmodium falciparum and hookworm among African schoolchildren
2006

Mapping the Overlap of Malaria and Hookworm Infections in African Schoolchildren

Sample size: 71681 publication 10 minutes Evidence: high

Author Information

Author(s): Simon Brooker, Archie Clements, Peter Hotez, Simon Hay, Andew Tatem, Donald Bundy, Robert Snow

Primary Institution: London School of Hygiene and Tropical Medicine

Hypothesis

What is the geographical overlap between malaria and hookworm infections among schoolchildren in sub-Saharan Africa?

Conclusion

Malaria and hookworm infection are widespread throughout sub-Saharan Africa, with over a quarter of school-aged children at risk of co-infection.

Supporting Evidence

  • 50 million school-aged children in Africa are infected with hookworm.
  • 90.8 million children are exposed to stable endemic malaria transmission.
  • Co-infection may worsen health outcomes for children.

Takeaway

Many kids in Africa can get sick from both malaria and hookworm at the same time, which can make them even sicker.

Methodology

Statistical models were used to predict the distribution of hookworm based on infection prevalence among schoolchildren and environmental variables.

Potential Biases

Potential biases due to measurement errors in parasitological diagnosis and satellite-derived variables.

Limitations

The models may underestimate true error due to unaccounted sources of error and lack of spatial correlation.

Participant Demographics

The study focused on school-aged children (5-14 years) in sub-Saharan Africa.

Statistical Information

P-Value

0.000

Confidence Interval

95% CI: 48.9–51.1

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1475-2875-5-99

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