Selective Intermittent Preventive Treatment of Vivax Malaria: Reduction of Malaria Incidence in an Open Cohort Study in Brazilian Amazon
Author(s) -
Tony Hiroshi Katsuragawa,
Luiz Herman Soares Gil,
Alzemar Alves de Lima,
Elci Marlei Freitag,
Tatiana Marcondes dos Santos,
Maria Teixeira do Nascimento Filha,
Alcides Procópio Justiniano dos Santos Júnior,
Josiane Mendes da Silva,
Aline de Freitas Rodrigues,
Mauro Shugiro Tada,
Cor Jésus Fernandes Fontes,
Luiz Hildebrando Pereira da Silva
Publication year - 2013
Publication title -
malaria research and treatment
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.726
H-Index - 15
eISSN - 2090-8075
pISSN - 2044-4362
DOI - 10.1155/2013/310246
Subject(s) - malaria , vivax malaria , incidence (geometry) , medicine , chloroquine , plasmodium vivax , environmental health , transmission (telecommunications) , christian ministry , cohort , tropical medicine , pediatrics , immunology , plasmodium falciparum , philosophy , physics , electrical engineering , theology , pathology , engineering , optics
In children, the Intermittent Preventive Treatment (IPTc), currently called Seasonal Malaria Chemoprevention (SMC), was considered effective on malaria control due to the reduction of its incidence in Papua New Guinea and in some areas with seasonal malaria in Africa. However, the IPT has not been indicated because of its association with drug resistance and for hindering natural immunity development. Thus, we evaluated the alternative IPT impact on malaria incidence in three riverside communities on Madeira River, in the municipality of Porto Velho, RO. We denominate this scheme Selective Intermittent Preventive Treatment (SIPT). The SIPT consists in a weekly dose of two 150 mg chloroquine tablets for 12 weeks, for adults, and an equivalent dose for children, after complete supervised treatment for P. vivax infection. This scheme is recommend by Brazilian Health Ministry to avoid frequent relapses. The clinic parasitological and epidemiological surveillance showed a significant reduction on vivax malaria incidence. The results showed a reduction on relapses and recurrence of malaria after SIPT implementation. The SIPT can be effective on vivax malaria control in localities with high transmission risk in the Brazilian Amazon.
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