Transmission of malaria- in diverse geo-ecological paradigms: A case study of Thane district in Maharashtra- India.
Keywords:
Epidemiology, Health Care, Malaria Indicators, API, UrbanizationAbstract
Malaria is persistent in India. Maharashtra was not affected badly since the beginning of the 21th century. But in last few years the situation has changed. Thane district in Maharashtra faced the problem of outbreak of malaria in 2010.The present study is a retrospective analysis of malaria situation in Thane district from 2003 to 2012. Epidemiological data of malaria indicators is obtained from District Malaria Department and NVBDCP is considered, and a regression is formulated. Correlation R square and trend values are quantified. GIS technique based maps are prepared to identify hot spots. API of India, Maharashtra and Thane are compared by graphical representation. The results show that the trend of malaria of Thane is in contrast to the scenario of India. Hot spots are located in the north east tribal area. Ground realities reveal that urban API is unbelievably low as people prefer private medical services. API (Annual Parasitic Index) of tribal areas was 13.03to 47.51 in 2010, which was far more than the national and state average. Though it reduced in next few years, holistic approach at administrative and social level would dilute the problem. Political will power, governance over the health environment, public participation, and creating health awareness can control the resurgence of malaria in Thane district.
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