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Staging back of Malaria in Kerala, India: A Retrospective study

Author Affiliations

  • 1 Department of Community Medicine, M.O.S.C Medical College, Kolenchery, Kerala, INDIA
  • 2 Senior Allied Health Officer, Royal Brisbane Women's Hospital, Brisbane, Queensland state of Australia, AUSTRALIA

Int. Res. J. Social Sci., Volume 2, Issue (12), Pages 42-46, December,14 (2013)


Malaria is one of the important public health problem in India by considering its prevalence, virulence and drug resistance. The aim of this study is to find out the case infection and fatality over age, sex and time period. It is a hospital based retrospective study of five years. The data were collected from the medical records department of the hospital and analysed by using Microsoft excel. ‘Z’ test applied for finding out the comparison of proportions. Out of 139 confirmed cases of malaria, 121 cases were males (87.05%) and 18 cases (12.95%) were females. The proportion of malaria cases is higher in males than females. The majority of 58.99% of cases are in 20-39years. Case fatality of malaria is 2.15% and it is 1.65% in males and 5.5% in females and it is highly significant (p=.0036). Out of 139 malaria cases reported in the study, 46.04% cases were Plasmodium falciparum, 27.33% were Plasmodium vivax and 26.61% were due to unspecified malaria infection. The preponderance of males and adult age group indicating the involvement of outdoor work exposure in the case infection. As the labours from the malaria endemic areas are the source of infection in the study area, much personal prophylactic measures to be adopted by the labours during the outdoor works and vector control activity to be strengthened through the Primary Health Centre in the area.


  1. Beare N.A., Taylor J.E., Harding S.P., Lewallen S. and Molyneax M.E., Malarial retinopathy: A newly established diagnostic sign in severe malaria, American Journal of Tropical Medicine and Hygiene, 75(5), 790-7 (2006)
  2. Joshi H., Prajapati S.K., Verma A., Kang’a S. and Carlton J.M., Plasmodium vivax in India. Trends Parasitology, 24(50), 228-235(2008)
  3. Park K., Text book of Preventive and Social Medicine, XV111 edn; 193 (2002)
  4. Gopalakrishnan S. and Ranjit Malaria, Millennium development goals and the status of malaria problem in Tamilnadu state in India, Indian Medical Journal, 105, 5 (2011)
  5. Baridalyne Nongkynrih, B.K. Patro, Chandrakanta S Pandav. Current status of communicable and non-communicable diseases in India, JAPI, 52 (2004)
  6. World Health Organization, World Health Report Geneva, Switzerland (1998)
  7. Gauravi Mishra, Hospital based study of malaria in Ratnagiri district, Maharashtra, J. Vec. Borne Dis., 109-111 (2003)
  8. Anand K., Kant S. and Kumar G., Clinical case definition of malaria at a secondary level hospital in northern India. Southeast Asian J. Trop Med Pub Health, 30(2), 243-5 (1999)
  9. Sidhu P.S, Ngsc. A retrospective study on malaria cases admitted to the University hospital, Kerala Lumpur, 1984-1988, Med. J. Malaysia, 46(2), 177-82 (1991)
  10. Nadjm B. and Behrens R.H., ‘Malaria: An update for physicians’, Infectious Disease clinics of North America, 26(2), 243-59 (2012)
  11. Sinh N., Kataria O. and Singh M.P., the changing dynamics of plasmodium vivax and Plasmodium falciparum in central India: Trends over a 27 year period (1975-2002), Vector Borne Zoonotic Diseases, 4(3), 239-248 (2004)
  12. Madhu Muddaiah and Prakash P.S., A study of clinical profile of malaria in a tertiary referel centre in South Canara, J.Vector Borne Dis, 43, 29-33 (2006)
  13. Preetam N. Wasnik, Manohar T.P., Humaney N.R. and Sarkar H.R., Study of clinical profile of falciparum malaria in a tertiary referral centre in central India, JAPI, 60 (2012)
  14. Murthy G.L., Sabay R.K., Srinivasan V.R., Upadhaya A.C., Shantaram V. and Gayatri K., Clinical profile of falciparum malaria in a tertiary care hospital, J. Indian Med. Assoc, 98(4), 160-2, 169 (2000)
  15. Chandrashekar UK, Sudharshan Murthy KA and Sunila. A study on clinical profile and outcome in falciparum malaria, Calicut Medical Journal 2011, 9(3), e6 (2011)
  16. Chowta M.N. and Chowta K.N., Study of clinical profile of malaria at KMC, Hospital Attavar, India, Journal of clinical and diagnostic research, 1(3), 110-115 (2007)
  17. Sharma S.K., Tyagi P.K, Padhan K., Padhya V., Haque A.K, Nanda M.A, Joshi N., Biswas H., Adak S., Das T., Chauhan B.S, Chittis V.S. and Subharao C.E., S.K. Epidemiology of malaria transmission in forest and plain ecotype villages in Sundargarh district, Odisha, India.Trans.R. soc.trop.Med.Hyg., 100(10), 917-925 (2006)
  18. Vidhanjain, Avinash C. Nagpal, pradeep K. Joel, Manmohan shukla, Mrigendra P.Singh, Rasik B.Gupta, aditya P.Dash, Saroj K. mishra, Venkatachalam Udhayakumar, Jonathan K.Stiles and Neeru Singh. Burden of cerebral malaria in central India (2004-2007), Am J Trop Med Hyg, 79(4), 636-642 (2008)
  19. Bonilla E., Rodrigueza. Determining malaria effects in rural Colombia, Soc. Sci. Med, 37(9), 1109-14 (1993)
  20. Chigozie Jesse Uneke, Ogbonnaya Ogbu, Vincent Nwojiji. Potential risk of induced malaria by blood transfusion in South eastern Nigeria, Mcgill J. Med, 9(1), 8-13 (2006)
  21. Sahar S., Akhtar T., Bilal H. and Rana M.S., Prevalence of Plasmodium falciparum malarial parasite in Muzaffargarh district, punjab-Pakistan, a two year study, Pakistan Journal of Science, 64(1), (2012)
  22. Poonam Bhadja and Ashokkumar Vaghela H., Study on malaria patients at Rajkot, Gujarat, India, Life Sciences leaflets, l.5, 72-80 (2013)
  23. Nissapatorn V., Limya, Jamaiah I., Agnes L.S., Amyliana K., Wen C.C., Nurul H., Nizam S., Quake C.T., Valartmathi C., Woei C.Y. and Anuar A.K., Parasitic infections in Malaysia: Changing and Challenges, South east Asian J. Trop. Med. Public Health, 36 Suppl, 4, 50-9 (2005)
  24. Talsania N.J. and Vani S.N., A study of malaria related paediatric morbidity and mortality in Ahmadabad, Gujarat State in India, National Journal of Community Medicine, 1(2), (2010)
  25. Kimerling M.E., Houth H., Hilderbrand K. and Goubert L., Identifying malaria control issues: a district hospital based evaluation, Southeast Asian J. Trop. Med. Public Health, 26(4), 611-9 (1995)
  26. Herris V.K., Richard U.S., Mathai E., Sitaram U., Kumar K.V., Cherian A.M., Amelia S.M. and Anand G., A study on clinical profile of falciparum malaria in a tertiary care hospital in South India, Indian J. Malariology, 38, 19-24 (2001)
  27. Jagannath Sarkar, Naman K., Shah and Manoj V. Murhekar, Incidence, Management and reporting of severe and fatal Plasmodium falciparum malaria in secondary and tertiary health facilities of Alipurduar, India in 2009, J. Vector Borne Dis., 49, 157-163 (2012)
  28. Dzeing-Ella A., Nze Obiang P.C., Tchoua R., Planche T., Mboza B. and Mbounja M., al., Severe falciparum malaria in Gabonese children: Clinical and laboratory features, Malar. J, 4, 1 (2005)
  29. Patil V.C., Complicated falciparum malaria in western Maharshtra. Tropical Parasitology, 2(1), 49-54 (2012)
  30. Mishra S.K., Panigrahi P., Mishra R. and Mohanty S., Prediction of outcome in adults with severe falciparum malaria: a new scoring system, Malar J., 6, 24 (2007)
  31. Sean C. Murphy and Joel G. Breman, Gaps in the childhood malaria burden in Africa : Cerebral malaria, neurological sequelae, anemia, respiratory distress, hypoglycemia, and complications of pregnancy, The American Journal of Tropical Medicine and Hygiene, 24, SUP(113) (2001)
  32. Greenberg A.E, Ntumban Zondo M., Ntula N., Mawa L., Howell J. and Davachi F., Hospital based surveillance of malaria-related paediatric morbidity and mortality in Kinshasa, Zaire. Bull. World Health Org., 67(2), 189-196 (1989)
  33. Shukla M.M., Singh N., Singh M.P., Tejwani B.M., Srivastava D.K. and Sharma V.P., Cerebral malaria in Jabalpur, India, Indian Journal of malariology, 32, 70-75 (1995)
  34. Gopal Shankar Sahni. Recurring Epidemics of Acute Encephalopathy in Children Muzaffarpur, Bihar, Indian Paediatric, 49, 502-503 (2012)
  35. Sumodan, Malaria in Kerala: Lessons from Goa, Med Blog, (2013)
  36. Malaria cases on rise in Thrissur. The Hindu Daily, Monday, (2010)
  37. Sajith Kumar and Prathiksha, Health sciences, 1(1), (2012)