Imported human malaria cases Peninsular Malaysia and its associated factors, 2015-2019

A total of 3061 human malaria cases have been reported in Malaysia between 2015 and 2019, and 77% of cases were imported. Despite the downward trend of locally acquired human malaria cases, there is an increasing trend of imported human malaria cases. Our study aimed to study the distribution and as...

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Main Author: Ismail, Mohd Hafiz Che
Format: Thesis
Language:English
Published: 2021
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Online Access:http://eprints.usm.my/52211/1/Mohd%20Hafiz%20Che%20Ismail-24%20pages.pdf
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spelling my-usm-ep.522112022-04-06T07:06:31Z Imported human malaria cases Peninsular Malaysia and its associated factors, 2015-2019 2021-06 Ismail, Mohd Hafiz Che R Medicine A total of 3061 human malaria cases have been reported in Malaysia between 2015 and 2019, and 77% of cases were imported. Despite the downward trend of locally acquired human malaria cases, there is an increasing trend of imported human malaria cases. Our study aimed to study the distribution and associated factors for imported human malaria cases in Peninsular Malaysia from 2015 until 2019. The study was conducted using surveillance data at the Ministry of Health Malaysia. Human malaria cases in Peninsular Malaysia from 2015 until 2019 reported in Vekpro Online that fulfil subject criteria were included. A simple random sampling technique was used for sampling. All data extracted from Vekpro Online were recorded in proforma. All cases were classified into locally acquired and imported human malaria. Multiple logistic regression was used to determine the factors associated with imported human malaria cases. A total of 716 cases were included, of which 89.4% were males. Most of the cases (85.3%) were in the age group 18-59 years, followed by less than 18 years (11.2%). The majority of the cases were Malaysian (68.4%), working in the agriculture, forestry, and fishing sectors (55%), having P. vivax infection (56%), have the presence of gametocyte (62.7%), having an uncomplicated infection (91.1%) and living in the rural area (59.4%). Significant association with imported human malaria were found in the age group 18-59 years (AdjOR 8.687; 95% CI: 3.631, 20.782, p-value <0.001), 60 years and above (AdjOR 7.844; 95% CI: 1.308, 47.024, p-value=0.024), male (AdjOR 8.029; 95% CI: 3.497, 18.434, p-value<0.001), foreigner (AdjOR 7.412; 95% CI: 3.009, 18.260, p-value<0.001), working in agricultural sector (AdjOR 2.680; 95% CI: 1.297, 5.536, p-value=0.008), infected with P. vivax (AdjOR 0.300; 95% CI: 0.125, 0.595, p-value=0.001), presence of gametocytes (AdjOR 0.300; 95% CI: 0.158, 0.569, p-value<0.001), and living in the rural area (AdjOR 0.055; 95% CI: 0.016, 0.190, p-value<0.001). These findings will aid the Ministry of Health Malaysia in formulating new strategies and strengthen the existing one in managing imported malaria and preventing the reintroduction of malaria into the country. 2021-06 Thesis http://eprints.usm.my/52211/ http://eprints.usm.my/52211/1/Mohd%20Hafiz%20Che%20Ismail-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution Universiti Sains Malaysia
collection USM Institutional Repository
language English
topic R Medicine
spellingShingle R Medicine
Ismail, Mohd Hafiz Che
Imported human malaria cases Peninsular Malaysia and its associated factors, 2015-2019
description A total of 3061 human malaria cases have been reported in Malaysia between 2015 and 2019, and 77% of cases were imported. Despite the downward trend of locally acquired human malaria cases, there is an increasing trend of imported human malaria cases. Our study aimed to study the distribution and associated factors for imported human malaria cases in Peninsular Malaysia from 2015 until 2019. The study was conducted using surveillance data at the Ministry of Health Malaysia. Human malaria cases in Peninsular Malaysia from 2015 until 2019 reported in Vekpro Online that fulfil subject criteria were included. A simple random sampling technique was used for sampling. All data extracted from Vekpro Online were recorded in proforma. All cases were classified into locally acquired and imported human malaria. Multiple logistic regression was used to determine the factors associated with imported human malaria cases. A total of 716 cases were included, of which 89.4% were males. Most of the cases (85.3%) were in the age group 18-59 years, followed by less than 18 years (11.2%). The majority of the cases were Malaysian (68.4%), working in the agriculture, forestry, and fishing sectors (55%), having P. vivax infection (56%), have the presence of gametocyte (62.7%), having an uncomplicated infection (91.1%) and living in the rural area (59.4%). Significant association with imported human malaria were found in the age group 18-59 years (AdjOR 8.687; 95% CI: 3.631, 20.782, p-value <0.001), 60 years and above (AdjOR 7.844; 95% CI: 1.308, 47.024, p-value=0.024), male (AdjOR 8.029; 95% CI: 3.497, 18.434, p-value<0.001), foreigner (AdjOR 7.412; 95% CI: 3.009, 18.260, p-value<0.001), working in agricultural sector (AdjOR 2.680; 95% CI: 1.297, 5.536, p-value=0.008), infected with P. vivax (AdjOR 0.300; 95% CI: 0.125, 0.595, p-value=0.001), presence of gametocytes (AdjOR 0.300; 95% CI: 0.158, 0.569, p-value<0.001), and living in the rural area (AdjOR 0.055; 95% CI: 0.016, 0.190, p-value<0.001). These findings will aid the Ministry of Health Malaysia in formulating new strategies and strengthen the existing one in managing imported malaria and preventing the reintroduction of malaria into the country.
format Thesis
qualification_level Master's degree
author Ismail, Mohd Hafiz Che
author_facet Ismail, Mohd Hafiz Che
author_sort Ismail, Mohd Hafiz Che
title Imported human malaria cases Peninsular Malaysia and its associated factors, 2015-2019
title_short Imported human malaria cases Peninsular Malaysia and its associated factors, 2015-2019
title_full Imported human malaria cases Peninsular Malaysia and its associated factors, 2015-2019
title_fullStr Imported human malaria cases Peninsular Malaysia and its associated factors, 2015-2019
title_full_unstemmed Imported human malaria cases Peninsular Malaysia and its associated factors, 2015-2019
title_sort imported human malaria cases peninsular malaysia and its associated factors, 2015-2019
granting_institution Universiti Sains Malaysia
granting_department Pusat Pengajian Sains Perubatan
publishDate 2021
url http://eprints.usm.my/52211/1/Mohd%20Hafiz%20Che%20Ismail-24%20pages.pdf
_version_ 1747822146134999040