Table 4.
Hospital deaths due to infection with Plasmodium falciparum and malaria case fatality rates in children < 5 years of age, observed during routine surveillance in 15 ITN districts in 2007 and 2008 in Zambia
|
Sentinel site |
% ITN Coverage |
Hospital malaria deaths as a proportion of all hospital deaths, (%)(n)(95% CI) |
P (2007–2008) |
Case Fatality Rate,(%) (n)(95% CI) |
P (2007–2008) |
||
|---|---|---|---|---|---|---|---|
| 2007 | 2008 | 2007 | 2008 | ||||
| Chadiza |
71 |
75.6(41) [62.47-88.75] |
35.3(17) [12.57-58.01] |
0.00013 |
12.7(2445) [11.40-14.04] |
3.7(1604) [2.76-4.60] |
0.026 |
| Chama |
70.5 |
67.1(82) [56.90-77.24] |
57.8(45) [43.35-72.21] |
0.406 |
14.4(3809) [13.29-15.53] |
17.2(1514) [15.27-19.07] |
0.619 |
| Chavuma |
80 |
80.0(5) [44.94-115.06] |
37.5(8) [3.95-71.05] |
0.0009 |
4.2(942) [2.96-5.54] |
10.6(282) [7.04-14.24] |
0.096 |
| Chibombo |
80 |
57.9(38) [42.19-73.59] |
68.4(19) [47.52-89.32] |
0.35 |
19.7(1115) [17.39-22.09] |
21.7(599) [18.40-25.00] |
0.756 |
| Chinsali |
80 |
67.7(127) [59.59-75.85] |
57.6(33) [40.72-74.44] |
0.367 |
25.5(3379) [24.04-26.98] |
20.7(917) [18.10-23.34] |
0.48 |
| Kalabo |
80 |
34.7(49) [21.36-48.02] |
44.9(49) [30.97-58.83] |
0.253 |
27.1(629) [23.61-30.59] |
12.5(1754) [10.99-14.09] |
0.020 |
| Kalomo |
70.5 |
50.0(88) [39.55-60.45] |
58.7(46) [44.47-72.93] |
0.404 |
48.0(916) [44.79-51.27] |
32.4(834) [29.19-35.55] |
0.082 |
| Luangwa |
100 |
58.5(41) [43.46-73.62] |
22.7(22) [05.22-40.24] |
0.00007 |
43.6(551) [39.42-47.70] |
12.6(396) [09.36-15.90] |
0.00004 |
| Namwala |
80 |
42.9(35) [26.46-59.26] |
72.7(11) [46.41-99.05] |
0.006 |
23.0(653) [19.74-26.20] |
47.6(168) [40.07-55.17] |
0.0034 |
| Nyimba |
75 |
70.7(92) [61.34-79.96] |
55.4(56) [42.32-68.38] |
0.173 |
40.5(1604) [38.12-42.92] |
30.7(1010) [27.85-33.53] |
0.246 |
| Milengi |
75 |
70.0(10) [04.60-98.40] |
83.3(12) [62.24-104.42] |
0.283 |
8.6(815) [06.67-10.51] |
18.4(545) [15.10-21.60] |
0.059 |
| Mwinilunga |
75 |
60.0(50) [46.42-73.58] |
59.6(52) [46.28-72.96] |
0.975 |
10.5(2869) [09.37-11.61] |
15.0(2061) [13.45-16.53] |
0.373 |
| Samfya |
80 |
51.2(162) [41.07-56.47] |
55.6(90) [45.29-65.83] |
0.671 |
24.1(3438) [22.68-25.54] |
31.1(1610) [28.86-33.38] |
0.346 |
| Sesheke |
80 |
63.0(27) [44.74-81.18] |
37.5(16) [13.78-61.22] |
0.011 |
12.3(1385) [10.54-14.00] |
44.8(134) [36.36-53.20] |
0.00002 |
| Zambezi |
80 |
69.0(42) [55.07-83.03] |
74.1(27) [57.54-90.60] |
0.0008 |
15.5(1869) [13.88-17.16] |
21.5(929) [18.89-24.17] |
0.324 |
| All | 95 | 59.1(889) [55.83-62.29] | 54.5(486) [50.20-58.86] | 0.666 | 20.0(26419) [19.55-20.51] | 19.3(14357) [18.64-19.94] | 0.913 |
(%) = Malaria deaths as a proportion of all hospital confirmed cases, n=Total number of confirmed hospital cases.