Meteorologic influences on Plasmodium falciparum malaria in the Highland Tea Estates of Kericho, Western Kenya

Recent epidemics of Plasmodium falciparum malaria have been observed in high-altitude areas of East Africa. Increased malaria incidence in these areas of unstable malaria transmission has been attributed to a variety of changes including global warming. To determine whether the reemergence of malari...

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Bibliographic Details
Published in:Emerging infectious diseases 2002-12, Vol.8 (12), p.1404-1408
Main Authors: Shanks, G Dennis, Hay, Simon I, Stern, David I, Biomndo, Kimutai, Snow, Robert W
Format: Article
Language:English
Subjects:
Altitude
Climate
climate change
Communicable diseases
Development and progression
Disease Outbreaks
Disease transmission
epidemiology
global warming
Health aspects
highland
Humans
Incidence
Kenya - epidemiology
Kenyans
Malaria
Malaria, Falciparum - epidemiology
meteorology
Plasmodium falciparum
Registries
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Summary:Recent epidemics of Plasmodium falciparum malaria have been observed in high-altitude areas of East Africa. Increased malaria incidence in these areas of unstable malaria transmission has been attributed to a variety of changes including global warming. To determine whether the reemergence of malaria in western Kenya could be attributed to changes in meteorologic conditions, we tested for trends in a continuous 30-year monthly malaria incidence dataset (1966-1995) obtained from complete hospital registers at a Kenyan tea plantation. Contemporary monthly meteorologic data (1966-1995) that originated from the tea estate meteorologic station and from global climatology records were also tested for trends. We found that total hospital admissions (malaria and nonmalaria) remained unchanged while malaria admissions increased significantly during the period. We also found that all meteorologic variables showed no trends for significance, even when combined into a monthly suitability index for malaria transmission. We conclude that climate changes have not caused the highland malaria resurgence in western Kenya.
ISSN:1080-6040
1080-6059
DOI:10.3201/eid0812.020077