ArticleJournal of environmental and public health2020
Malaria Outbreak Facilitated by Appearance of Vector-Breeding Sites after Heavy Rainfall and Inadequate Preventive Measures: Nwoya District, Northern Uganda, February-May 2018.
Article in Journal of environmental and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Rift Valley fever seroprevalence and associated factors in non-vaccinated livestock (cattle and small ruminants) in Arua, Lira and Apac districts, Uganda.BMC veterinary research · 2026Article
- Malaria Outbreak in Meinit Goldia District, Southwest Ethiopia Peoples Regional State, 2025: Risk factors and epidemiological insights from a case-control study.BMC infectious diseases · 2026Article
- Climate variability and malaria incidence trends in Yumbe District, West Nile Sub-region of Uganda (2017-2021).Malaria journal · 2026Article
- Uganda Public Health Fellowship Program's Contributions to Malaria Control Programs 2015-2022: Strategies, Implementation Challenges, and Opportunities.Global health, science and practice · 2025Article
- Malaria outbreak facilitated by increased vector-breeding sites from erosion control pits sustained by intermittent rainfall, Mbale District, Uganda, January-June 2019.Malaria journal · 2025Article
- Plasmodium knowlesi and global changes: socio-ecological drivers and challenges.Malaria journal · 2025Review
- Climate change and malaria: an old enemy of Africa is back.BMC public health · 2025Article
- Climate change and malaria: some recent trends of malaria incidence rates and average annual temperature in selected sub-Saharan African countries from 2000 to 2018.Malaria journal · 2023Article
- Habitat Diversity, Stability, and Productivity of Malaria Vectors in Irrigated and Nonirrigated Ecosystems in Western Kenya.Journal of medical entomology · 2023Article
- Improving the effectiveness of Field Epidemiology Training Programs: characteristics that facilitated effective response to the COVID-19 pandemic in Uganda.BMC health services research · 2022Article
- Malaria outbreak facilitated by increased mosquito breeding sites near houses and cessation of indoor residual spraying, Kole district, Uganda, January-June 2019.BMC public health · 2022Article
- Malaria-associated risk factors among adolescents living in areas with persistent transmission in Senegal: a case-control study.Malaria journal · 2022Article
- Malaria outbreak facilitated by engagement in activities near swamps following increased rainfall and limited preventive measures: Oyam District, Uganda.PLOS global public health · 2022Article
- The Complex Epidemiological Relationship between Flooding Events and Human Outbreaks of Mosquito-Borne Diseases: A Scoping Review.Environmental health perspectives · 2021Article
- Characterization of an outbreak of malaria in a non-endemic zone on the coastal region of Ecuador.Biomedica : revista del Instituto Nacional de Salud · 2021Article
- Building National Health Security Through a Rapid Self-Assessment and Annual Operational Plan in Uganda, May to September 2021.Health securityArticle
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Authors and funding
8 authors.
Funding
Abstract
Background: Malaria is a leading cause of morbidity and mortality in Uganda. In April 2018, malaria cases surged in Nwoya District, Northern Uganda, exceeding expected limits and thereby requiring epidemic response. We investigated this outbreak to estimate its magnitude, identify exposure factors for transmission, and recommend evidence-based control measures. Methods: We defined a malaria case as onset of fever in a resident of Anaka subcounty, Koch Goma subcounty, and Nwoya Town Council, Nwoya District, with a positive rapid diagnostic test or microscopy for malaria from 1 February to 25 May 2018. We reviewed medical records in all health facilities of affected subcounties to find cases. In a case-control study, we compared exposure factors between case-persons and asymptomatic controls matched by age and village. We also conducted entomological assessments on vector density and behavior. Results: We identified 3,879 case-persons (attack rate [AR] = 6.5%) and two deaths (case-fatality rate = 5.2/10,000). Females (AR = 8.1%) were more affected than males (AR = 4.7%) ( Conclusion: Increased vector-breeding sites after heavy rainfall and inadequate malaria preventive measures were found to have contributed to this outbreak. We recommended increasing coverage for LLINs and larviciding breeding sites in the area.
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