Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0024530 (malaria)
 44,886 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Kinetics of serum levels of interleukin-6 (IL-6) were studied in patients with acute Plasmodium falciparum malaria in relation to vitamin A and its binding proteins, retinol binding protein (RBP) and pre-albumin. It was found that IL-6 levels followed the rise and decrease of parasitaemia by 12 hr and correlated inversely with levels of vitamin A and its binding proteins. These data suggest that vitamin A supplementation alone might still be insufficient to restore a malaria-induced vitamin A deficiency.
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PMID:The role of interleukin-6 in vitamin A deficiency during Plasmodium falciparum malaria and possible consequences for vitamin A supplementation. 157 2

Plasma retinol and 5 carotenes were assayed by high performance liquid chromatography in Thai rural and urban malaria patients and matched control subjects. Plasma retinol was lower in the rural than in the urban controls and both groups of malaria patients had lower serum retinol concentrations than their respective controls. 29% (6/21) of the rural patients were biochemically deficient in retinol (less than or equal to 0.35 mumol/litre), suggesting severely depleted liver stores of vitamin A. The carotene data suggest that the intake of total carotenoids may be 50 to 100% greater than in the UK and that a much higher proportion of dietary beta-carotene is converted to vitamin A than in British adults. The concentrations of non-pro-vitamin A carotenoids in both groups of malaria patients were not compatible with vitamin A deficiency. The differences between patient and control median concentrations of pro-vitamin A (PVA) carotenoids were greater than those of non-PVA carotenoids, suggesting increased utilization of vitamin A in malaria. There was no evidence of clinical vitamin A deficiency in either of the communities studied; therefore, severely depleted stores of retinol are very unlikely. There is an alternative explanation for low plasma retinol levels in malaria patients because retinol is bound to the negative acute phase proteins, retinol binding protein and transthyretin. We suggest that the behaviour of retinol during infection indicates a rapid distribution into extravascular fluids and an increased availability to the tissues; i.e., it may be another beneficial effect of the acute phase response.
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PMID:The acute phase response and vitamin A status in malaria. 190 68

Iron deficiency and vitamin A deficiency are both reported to predispose to infection morbidity and to mortality. In both situations, however, the data are insufficient to draw firm conclusions, primarily owing to flaws in the design of the studies. To be sure, these are difficult studies to carry out, and the investigators whose reports have been reviewed should be praised rather than adversely criticized for their efforts. In the case of iron deficiency, there is a further complication in interpretation, that is the suggestion that iron deficiency states may be protective and that conditions of iron overload may predispose to infection. These concepts appear to pertain most convincingly to malaria and Yersinia infections, and to situations in which iron dextran is given parenterally to young children in the first few months of life. There are still two few data to suggest that oral iron is harmful and there is no reason at present that it should not be employed for the correction of iron deficiency anemia.
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PMID:Micronutrients and susceptibility to infection. 219 69

The vitamin A status of 454 pre-school age Congolese children was evaluated by the impression cytology method with transfer (ICT) and by the determination of plasma retinol. The absence of goblet cells and the presence of enlarged epithelial cells indicate a peripheral deficit of vitamin A. A level of plasma retinol lower than 10 micrograms/dl is an indicator of vitamin A deficiency. The subjects were children in good health or suffering from malaria, measles or various infectious diseases. Advantages, disadvantages, sensitivity and specificity of the ICT are discussed. We suggest its use in a mass screening program for vitamin A deficiency in developing countries.
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PMID:Vitamin A deficiency in pre-school age Congolese children during malarial attacks. Part 1: Utilisation of the impression cytology with transfer in an equatorial country. 227 77

It has been claimed that vitamin A deficiency increases the severity of malarial infection in rats. We measured parasitemia, mortality, serum retinol, liver retinol, spleen weight, and degree of xerophthalmia in vitamin A-deficient rats (A-), pair-fed control rats (A+PF), and ad libitum-fed control rats (A+AL) infected with Plasmodium berghei, a rodent malarial parasite. In experiments 1 and 2 vitamin A deprivation began at weaning. Parasitemia and mortality among mildly deficient (expt. 1, mean serum retinol 19 micrograms/dl) or acutely deficient rats (expt. 2, mean serum retinol less than 5 micrograms/dl) infected with P. berghei were not significantly different from those of infected A+AL or A+PF rats. Furthermore, when the mildly deficient rats were given a second, larger dose of P. berghei, all demonstrated complete immunity to the parasite. However, when vitamin A was withdrawn midway through pregnancy (expt. 3), the A- rats experienced significantly higher parasitemia and mortality during infection with P. berghei. Malaria caused a significant decrease in the serum retinol but not liver retinol of the A+PF and A+AL rats. Among the acutely deficient rats, xerophthalmia was significantly more prevalent and more severe among those infected with malaria than among those not infected with malaria. Malaria and vitamin A deficiency acted synergistically to increase spleen weight, and this interaction was highly significant. In these experiments, vitamin A deficiency decreased the rats' ability to recover from malaria, but only when the deficiency began early in life, was very severe, and the rats were young when infected.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Interactions between vitamin A deficiency and Plasmodium berghei infection in the rat. 269 6

Between 1975 and 1983 health care expenditures in Ghana dropped to a low point as a consequence of the structural readjustment program instituted by the World Bank. During 1975-76 only 15% of available funds were spent on primary health care (PHC), which was officially introduced in the late 1970s. PHC made up 20-25% of the health care expenditures by 1991 with about 25% of health personnel engaged in PHC. 2/3 of health care delivery covered urban areas when 60% of the population lived in the countryside. The district of Ejisu-Juaben in the Ashanti region had high morbidity. Tetanus, polio, whooping-cough, and diphtheria had been brought under control, but measles, diarrhea, and malnutrition were still widespread among children under 5 years old. Malaria, bilharzia, intestinal parasites, respiratory infections, hepatitis, anemia, hypertension, and vitamin A deficiency were also grave problems. AIDS was on the rise. Child mortality amounted to 130/1000 live births and maternal mortality to 1400/100,000 cases. The medical structure of the district comprises 10 health posts (6 governmental and 4 mission). Only 72 villages and 120,000 people are cared for. Each post has a mobile team. In 1993 a new community-based health care program began funded by Save the Children Netherlands. In 60 villages a village health committee existed but they were substandard. They were either reactivated or new committees were set up. Training activities were also started in prenatal care, delivery, care of malnutrition and diarrhea, hygiene, and sanitation. Two years later safe motherhood indicators had improved; postnatal care increased from 16% to 49%; medical deliveries increased from 27% to 37%; the share of families with contraceptive acceptance increased from 7% to 21%; and tetanus vaccination among mothers was estimated to have increased from 27% to 86%.
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PMID:[Primary health care in Ghana: no pay no cure?]. 750 Oct 68

Research is one of the four main activities of AITO. It is vital for the determination of health care priorities, and for the design, implementation, and evaluation of programs and projects in OCCCMED countries. Most of the research is surgical and focused on the diseases which cause blindness. Cataracts are the principal cause of blindness and have been the focus of many studies aimed at making surgery more accessible in terms of both geographical availability and cost. Trachoma is a major public health priority in the countries of the Sahel and a survey of its prevalence is underway in several countries. This study should lead to the development of preventive and curative treatments aimed at controlling blindness caused by trachoma by the year, 2020. Vitamin A deficiency, the cause of xerophthalmia and high mortality rates in infants, has been surveyed in several countries. A survey of glaucoma, another major cause of blindness which is often not recognized or treated, will be carried out in Bamako. Other studies focus on leprosy, malaria and the effects of visual disability on the quality of everyday life. It will be a major challenge over the next five years to develop the capacity within local populations to identify, design and implement research programs in community health aspects of ophthalmology that will take into account the needs and constraints of sub-Saharan Africa.
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PMID:[Research at the African Institute of Tropical Ophthalmology]. 964 37

Economic deterioration and a decade of military rule have had a disastrous impact on the health of women and children in Burma. In 1996, Burma's infant mortality rate was 105/1000 live births. The major causes of child mortality and morbidity are intestinal and respiratory infections, malaria, malnutrition, and vaccine-preventable diseases. Low birth weight, iodine and vitamin A deficiency diseases, and iron-deficiency anemia are widespread. Cholera outbreaks occur each year. The Universal Child Immunization Program, supported by UNICEF, reaches less than 60% of eligible children. The maternal mortality rate is 580/100,000 live births; most are related to unsafe abortion. Basic reproductive health care is available only in select areas of the country. 17-22% of women use modern contraception. UNAIDS has estimated that 440,000 Burmese are HIV-infected and there are 14,000 AIDS orphans. HIV prevalence is 26.5% in urban prostitutes, 91% among injecting drug users near the Chinese border, and 10.6% among pregnant women in one border town. Any improvement in the health status of the population requires a shift in priority on the part of the military government from weapons build-up to health promotion and protection.
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PMID:Burma: a country's health in crisis. 977 77

Vitamin A deficiency increases the risk of illness, while infections impair vitamin A status. Malaria is highly prevalent in rural Zambia. We describe the relationship between malaria and vitamin A status. We examined dietary vitamin A intake, malaria parasitaemia and serum concentrations of retinol, C-reactive protein (CRP) and alpha 1-acid glycoprotein (AGP) in 210 children under the age of 2. Vitamin A intake was low. Serum retinol was negatively correlated with malaria parasite count and to serum levels of CRP and AGP. Increased malaria parasite density resulted in raised CRP and AGP levels, which were negatively associated with serum retinol. We conclude that improvement of dietary vitamin A intake and prevention of infectious diseases, especially malaria, could alleviate vitamin A deficiency in this population.
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PMID:Malaria is associated with reduced serum retinol levels in rural Zambian children. 985 66

Anemia and iron deficiency during pregnancy are prevalent in developing countries, but their causes are not always known. We assessed the prevalence and severity of anemia and iron deficiency and their association with helminths, malaria and vitamin A deficiency in a community-based sample of 336 pregnant women in the plains of Nepal. Hemoglobin, erythrocyte protoporphyrin (EP) and serum ferritin were assessed in venous blood samples. Overall, 72.6% of women were anemic (hemoglobin < 110 g/L), 19.9% had moderate to severe anemia (hemoglobin < 90 g/L) and 80.6% had iron deficiency (EP > 70 micromol/mol heme or serum ferritin < 10 microg/L). Eighty-eight percent of cases of anemia were associated with iron deficiency. More than half of the women (54.2%) had a low serum retinol concentration (<1.05 micromol/L), 74.2% were infected with hookworms and 19.8% had Plasmodium vivax malaria parasitemia. Hemoglobin, EP and serum ferritin concentrations were significantly worse and the prevalence of anemia, elevated EP and low serum ferritin was increased with increasing intensity of hookworm infection. Hookworm infection intensity was the strongest predictor of iron status, especially of depleted iron stores. Low serum retinol was most strongly associated with mild anemia, whereas P. vivax malaria and hookworm infection intensity were stronger predictors of moderate to severe anemia. These findings reinforce the need for programs to consider reducing the prevalence of hookworm, malaria infection and vitamin A deficiency where indicated, in addition to providing iron supplements to effectively control anemia.
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PMID:Hookworms, malaria and vitamin A deficiency contribute to anemia and iron deficiency among pregnant women in the plains of Nepal. 1101 85


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