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
Subjects:	R Medicine
Online Access:	http://eprints.usm.my/52211/1/Mohd%20Hafiz%20Che%20Ismail-24%20pages.pdf
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id	my-usm-ep.52211
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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

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

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