Factors Contributing to Urban Malaria Transmission in Sub-Saharan Africa: A Systematic Review

Sub-Saharan Africa suffers by far the greatest malaria burden worldwide and is currently undergoing a profound demographic change, with a growing proportion of its population moving to urban areas. Urbanisation is generally expected to reduce malaria transmission; however the disease still persists...

Full description

Saved in:
Bibliographic Details
Main Authors: Prathiba M. De Silva, John M. Marshall
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Tropical Medicine
Online Access:http://dx.doi.org/10.1155/2012/819563
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850217943688806400
author Prathiba M. De Silva
John M. Marshall
author_facet Prathiba M. De Silva
John M. Marshall
author_sort Prathiba M. De Silva
collection DOAJ
description Sub-Saharan Africa suffers by far the greatest malaria burden worldwide and is currently undergoing a profound demographic change, with a growing proportion of its population moving to urban areas. Urbanisation is generally expected to reduce malaria transmission; however the disease still persists in African cities, in some cases at higher levels than in nearby rural areas. Objective. This paper aims to collate and analyse risk factors for urban malaria transmission throughout sub-Saharan Africa and to discuss their implications for control. Methods. A systematic search on malaria and urbanisation was carried out focusing on sub-Saharan Africa. Particular interest was taken in vector breeding sites in urban and periurban areas. Results. A variety of urban vector breeding sites were catalogued, the majority of which were artificial, including urban agriculture, tyre tracks, and ditches. Natural breeding sites varied according to location. Low socioeconomic status was a significant risk factor for malaria, often present in peri-urban areas. A worrying trend was seen in the adaptation of malaria vector species to the urban environment. Urban malaria is highly focused and control programs should reflect this. Conclusion. As urbanisation continues and vector species adapt, continued monitoring and control of urban malaria in sub-Saharan Africa is essential.
format Article
id doaj-art-2ff7331e17fc407db41c2080223df80b
institution OA Journals
issn 1687-9686
1687-9694
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Journal of Tropical Medicine
spelling doaj-art-2ff7331e17fc407db41c2080223df80b2025-08-20T02:07:56ZengWileyJournal of Tropical Medicine1687-96861687-96942012-01-01201210.1155/2012/819563819563Factors Contributing to Urban Malaria Transmission in Sub-Saharan Africa: A Systematic ReviewPrathiba M. De Silva0John M. Marshall1Department of Medicine, Imperial College London, London W2 1PG, UKMRC Centre for Outbreak Analysis & Modelling, Department of Infectious Disease Epidemiology, Imperial College London, London W2 1PG, UKSub-Saharan Africa suffers by far the greatest malaria burden worldwide and is currently undergoing a profound demographic change, with a growing proportion of its population moving to urban areas. Urbanisation is generally expected to reduce malaria transmission; however the disease still persists in African cities, in some cases at higher levels than in nearby rural areas. Objective. This paper aims to collate and analyse risk factors for urban malaria transmission throughout sub-Saharan Africa and to discuss their implications for control. Methods. A systematic search on malaria and urbanisation was carried out focusing on sub-Saharan Africa. Particular interest was taken in vector breeding sites in urban and periurban areas. Results. A variety of urban vector breeding sites were catalogued, the majority of which were artificial, including urban agriculture, tyre tracks, and ditches. Natural breeding sites varied according to location. Low socioeconomic status was a significant risk factor for malaria, often present in peri-urban areas. A worrying trend was seen in the adaptation of malaria vector species to the urban environment. Urban malaria is highly focused and control programs should reflect this. Conclusion. As urbanisation continues and vector species adapt, continued monitoring and control of urban malaria in sub-Saharan Africa is essential.http://dx.doi.org/10.1155/2012/819563
spellingShingle Prathiba M. De Silva
John M. Marshall
Factors Contributing to Urban Malaria Transmission in Sub-Saharan Africa: A Systematic Review
Journal of Tropical Medicine
title Factors Contributing to Urban Malaria Transmission in Sub-Saharan Africa: A Systematic Review
title_full Factors Contributing to Urban Malaria Transmission in Sub-Saharan Africa: A Systematic Review
title_fullStr Factors Contributing to Urban Malaria Transmission in Sub-Saharan Africa: A Systematic Review
title_full_unstemmed Factors Contributing to Urban Malaria Transmission in Sub-Saharan Africa: A Systematic Review
title_short Factors Contributing to Urban Malaria Transmission in Sub-Saharan Africa: A Systematic Review
title_sort factors contributing to urban malaria transmission in sub saharan africa a systematic review
url http://dx.doi.org/10.1155/2012/819563
work_keys_str_mv AT prathibamdesilva factorscontributingtourbanmalariatransmissioninsubsaharanafricaasystematicreview
AT johnmmarshall factorscontributingtourbanmalariatransmissioninsubsaharanafricaasystematicreview