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Journal of Tropical Pediatrics Advance Access published online on September 28, 2007
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmm074
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© The Author [2007]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Malaria Mortality in Venezuela: Focus on Deaths due to Plasmodium vivax in Children*

Alfonso J. Rodriguez-Moralesa,c, Jesús A. Benítezb and Melissa Arriac

aExperimental Institute JWT, Universidad de Los Andes, Trujillo, Venezuela
bEnvironmental Health and Sanitary Control, Ministry of Health, Aragua, Venezuela
cCollaborative Group of Clinical Infectious Diseases Research, Caracas, Venezuela

Correspondence: Melissa Arria, C.R.Los Angeles, T-2, 10-2. Sec.Pque.Cigarral, Urb.La Boyera, Caracas 1083, Venezuela. E-mail: < dra_melissa_arria{at}yahoo.com>.


  Abstract

Morbidity and mortality burden of malaria in the childhood represents a public health threat not only in countries with high levels of transmission, but also in those, such as Venezuela and others in Latin America, with moderate to low transmission. Usually its mortality has been attributed just to Plasmodium falciparum malaria, but the changing patterns of increase in Plasmodium vivax malaria morbidity and mortality are now causing concern. We studied malaria mortality by analyzing different epidemiological variables during a 10-year period in Venezuela, finding mortality rates ranging 0.10–0.36 deaths/100 000 population, with almost a third of deaths in children (<10 years old), corresponding 270 deaths to P. falciparum cases and 30 to P. vivax; but along the period with a decrease trend for P. falciparum and an increase trend for P. vivax.

Key Words: malaria • children • mortality • South America • Plasmodium vivax

*This study was previously presented in part at the XVIth International Congress for Tropical Medicine and Malaria, Marseille, France, September 2005 (Oral presentation, No. O-042).


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