Epidemiology of malaria transmission in forest and plain ecotype villages in Sundargarh District, Orissa, India

• Published in: Transactions of the Royal Society of Tropical Medicine and Hygiene 2006-10, Vol.100 (10), p.917-925
• Main Authors: Sharma, Surya K., Tyagi, Prajesh K., Padhan, Khageswar, Upadhyay, Ashok K., Haque, Mohammed A., Nanda, Nutan, Joshi, Hema, Biswas, Sukla, Adak, Tridibes, Das, Bhawani S., Chauhan, Virander S., Chitnis, Chetan E., Subbarao, Sarala K.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Animals; Anopheles - parasitology; Anopheles culicifacies; Anopheles fluviatilis; Biological and medical sciences; Child; Child, Preschool; Cross-Sectional Studies; Entomological inoculation rate; Human protozoal diseases; Humans; Incidence; India; India - epidemiology; Infant; Infant, Newborn; Infectious diseases; Insect Vectors - parasitology; Longitudinal Studies; Malaria; Malaria, Falciparum - epidemiology; Malaria, Falciparum - parasitology; Malaria, Falciparum - transmission; Medical sciences; Middle Aged; Parasitic diseases; Plasmodium falciparum; Prevalence; Protozoal diseases; Rural Health; Spleen - parasitology
• ISSN: 0035-9203; 1878-3503
• DOI: 10.1016/j.trstmh.2006.01.007

A study of the epidemiology of malaria transmission was undertaken in 13 tribal villages located in forest and plain areas of Sundargarh District of Orissa state, India, from January 2001 to December 2003. In forest areas, intense transmission of malaria is attributed to the highly anthropophagic vector Anopheles fluviatilis sibling species S and is complemented by A. culicifacies sibling species C. In plain areas, A. culicifacies sibling species C is responsible for malaria transmission. The entomological inoculation rate in the forest and plain areas was 0.311 and 0.014 infective bites/person/night, respectively, during 2003. Malaria transmission is perennial both in forest and plain areas but is markedly low in the plain area compared with the forest area. Plasmodium falciparum accounted for 85.0% of the total malaria cases during the study period. In forest and plain areas, the number of P. falciparum cases per 1000 population per year was 284.1 and 31.2, respectively, whereas the parasite rate was 14.0% and 1.7%, respectively. In forest areas, clinical malaria occurs more frequently in children aged 0–5 years and declines gradually with increasing age. The study showed that villages in forest and plain areas separated by short geographical distances have distinct epidemiology of malaria transmission.