title: The malaria epidemic in Antananarivo observed from Pediatric Service "A" of the Befelatanana General Hospital.
abstract: A recent malaria epidemic striking Antananarivo, the capital city of Madagascar, is shown from hospital records of Pediatric Service "A" of the Befelatanana General Hospital. From 1980 to 1988 malaria cases in this hospital service increased from 0.9% to 14.4% of all admissions (on average 1785 per year). The unexpected expansion is observed in 1984, 1985 and 1986 and since that time malaria has apparently maintained a stable endemic level. Malaria mortality as a proportion of general mortality in the service followed a parallel course but the case fatality rate remained constant during the whole period, in spite of the progressive increase of cerebral malaria (coma) cases. Hospitalized malaria children came mainly from Western and Southern urban and periurban areas of Antananarivo, more rarely from the central areas, the hilly zone, the North and the East of the city.
authors.affiliation: Pediatric Service A, Befelatanana General Hospital, Antananarivo, Madagascar.
authors.forename: M
authors.initials: M
authors.lastname: Razanamparany
authors.forename: A
authors.initials: A
authors.lastname: Bosman
authors.forename: N
authors.initials: N
authors.lastname: Ravelomanana
authors.forename: F
authors.initials: F
authors.lastname: Randriamiharisoa
authors.forename: L
authors.initials: L
authors.lastname: Razafimantsoa
mesh_terms: D000293:Adolescent; D000818:Animals; D002648:Child; D002675:Child, Preschool; D016000:Cluster Analysis; D015331:Cohort Studies; D004196:Disease Outbreaks; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008270:Madagascar / Q000453:epidemiology; D008288:Malaria / Q000453:epidemiology* / Q000401:mortality / Q000635:transmission; D010963:Plasmodium falciparum; D010966:Plasmodium vivax; D014505:Urban Population