The indirect health effects of malaria estimated from health advantages of the sickle cell trait

Nat Commun. 2019 Feb 20;10(1):856. doi: 10.1038/s41467-019-08775-0.

Abstract

Most estimates of the burden of malaria are based on its direct impacts; however, its true burden is likely to be greater because of its wider effects on overall health. Here we estimate the indirect impact of malaria on children's health in a case-control study, using the sickle cell trait (HbAS), a condition associated with a high degree of specific malaria resistance, as a proxy indicator for an effective intervention. We estimate the odds ratios for HbAS among cases (all children admitted to Kilifi County Hospital during 2000-2004) versus community controls. As expected, HbAS protects strongly against malaria admissions (aOR 0.26; 95%CI 0.22-0.31), but it also protects against other syndromes, including neonatal conditions (aOR 0.79; 0.67-0.93), bacteraemia (aOR 0.69; 0.54-0.88) and severe malnutrition (aOR 0.67; 0.55-0.83). The wider health impacts of malaria should be considered when estimating the potential added benefits of effective malaria interventions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bacteremia / immunology
  • Case-Control Studies
  • Child, Preschool
  • Disease Resistance / immunology*
  • Genotype
  • Hemoglobin, Sickle / genetics
  • Hemoglobin, Sickle / immunology*
  • Humans
  • Infant
  • Malaria, Falciparum / immunology*
  • Malaria, Falciparum / parasitology
  • Malnutrition / immunology
  • Odds Ratio
  • Patient Admission / statistics & numerical data
  • Plasmodium falciparum / immunology
  • Plasmodium falciparum / physiology
  • Sickle Cell Trait / genetics
  • Sickle Cell Trait / immunology*

Substances

  • Hemoglobin, Sickle
  • hemoglobin AS