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The association between protein–energy malnutrition, malaria morbidity and all-cause mortality in West African children

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Summary

Both malaria and protein–energy malnutrition (PEM) are highly prevalent in young children of sub-Saharan Africa, and the association between PEM and malaria continues to be discussed controversially. We analysed the association between PEM, malaria morbidity and all-cause mortality in a cohort of 709 children aged 6–30 months in a malaria holoendemic rural area of Burkina Faso. Study children were followed over the main malaria transmission period (June–December) in 1999 through longitudinal malaria surveillance complemented by three cross-sectional clinical surveys. There was no association between PEM and malaria morbidity, but malnourished children had a more than two-fold higher risk of dying than non-malnourished children.
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Keywords: Africa; Burkina Faso; malaria; malnutrition; mortality

Document Type: Research Article

Affiliations: 1: Department of Tropical Hygiene and Public Health, Ruprecht-Karls-University, Heidelberg, Germany 2: Institut Pasteur, Paris, France 3: Centre de Recherche en Santé de Nouna, Burkina

Publication date: 01 June 2003

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