Urbanization And Symptomatic Malaria In Relation To Retroval Screening

ABSTRACT

;/ descript ive cross -, section analysis 0/ five hundred patients who were

symptomatically diagnosed of malaria in three locations: Saki (peri-urban), Ibadan

(urban) and Lagos (highly urbanized) were recruited /01' this study using a well

structured questionnaire between September 2005 and June 2006. The prevalence

0/ both malaria and HIV infections were higher in Peri-Urban town than the other

two locations. We observed that 80% were HIV positive in Saki. 20% in Ibadan

and 37. J % in Lagos. Our data indicated that 74% were malaria pos itive ill Saki,

87% in Lagos and 24% in Ibadan. The percentage of co-infection in Saki, Logos

ffond Ibadan were 69%, 16% andI4.3% respectively. The high prevalence 0/ coinfection

in the two cross ..border locations (Saki and Lagos) is suggestive of a !'igh

correlation between clinical symptomatic malaria and HIV infection with respect

to cross border transmission of the two infections .. This paper suggests th at

government should make provision to establish sentinels for screening imin igrants.

Keywords: Highly-urbanized, co-infection, peri-urban, sentinels, syntptornatic