Age dependence of the multiplicity of Plasmodium falciparum infections and of other malariological indices in an area of high endemicity

Trans R Soc Trop Med Hyg. 1999 Feb:93 Suppl 1:15-20. doi: 10.1016/s0035-9203(99)90322-x.

Abstract

The relationship between age and various malariological indices in the Kilombero valley of Tanzania were examined by compiling data from 6 different community studies carried out between 1989 and 1996. The rate of acquisition of Plasmodium falciparum infection was highest in children 1-5 years of age, while recovery rates were lowest between the first birthday and early adolescence. As a result, peak prevalence was reached in 3-5 years old children. However, the prevalence of clinical malaria (estimated from the excess risk of axillary temperatures > or = 37.5 degrees C attributable to parasitaemia) was highest in children under one year of age. The peak in multiplicity of infection (identified by polymerase chain reaction-restriction fragment length polymorphism of the msp2 locus) occurred in 3-7 years old children. There was a significant correlation between parasite density and multiplicity of infection in infants and young children (1-2 years of age) but not in older individuals.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Animals
  • Child
  • Child, Preschool
  • Endemic Diseases / statistics & numerical data*
  • Fever / etiology
  • Humans
  • Infant
  • Malaria, Falciparum / epidemiology*
  • Malaria, Falciparum / parasitology
  • Middle Aged
  • Plasmodium falciparum / isolation & purification
  • Polymerase Chain Reaction
  • Polymorphism, Restriction Fragment Length
  • Prevalence
  • Tanzania / epidemiology