The effect of socioeconomic factors and indoor residual spraying on malaria in Mangaluru, India: A case-control study

Konrad Siegert, Welmoed van Loon, Prabhanjan P. Gai, Jessica L. Rohmann, Marco Piccininni, Anatol Fiete Näher, Archith Boloor, Damodara Shenoy, Chakrapani Mahabala, Suyamindra S. Kulkarni, Arun Kumar, Jacob Wedam, Pramod Gai, Rajeshwari Devi, Animesh Jain, Tobias Kurth, Frank P. Mockenhaupt

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2 Citations (Scopus)


India faces 0.5 million malaria cases annually, including half of all Plasmodium vivax malaria cases worldwide. This case–control study assessed socioeconomic determinants of urban malaria in coastal Mangaluru, Karnataka, southwestern India. Between June and December 2015, we recruited 859 malaria patients presenting at the governmental Wenlock Hospital and 2190 asymptomatic community controls. We assessed clinical, parasitological, and socioeconomic data. Among patients, p. vivax mono-infection (70.1%) predominated. Most patients were male (93%), adult (median, 27 years), had no or low-level education (70.3%), and 57.1% were daily labourers or construction workers. In controls (59.3% male; median age, 32 years; no/low-level education, 54.5%; daily labourers/construction workers, 41.3%), 4.1% showed asymptomatic Plasmodium infection. The odds of malaria was reduced among those who had completed 10th school grade (aOR, 0.3; 95% CI, 0.26–0.42), lived in a building with a tiled roof (aOR, 0.71; 95% CI, 0.53–0.95), and reported recent indoor residual spraying (aOR, 0.02; 95% CI, 0.01–0.04). In contrast, migrant status was a risk factor for malaria (aOR, 2.43; 95% CI, 1.60–3.67). Malaria in Mangaluru is influenced by education, housing condition, and migration. Indoor residual spraying greatly contributes to reducing malaria in this community and should be promoted, especially among its marginalised members.

Original languageEnglish
Article number11853
JournalInternational Journal of Environmental Research and Public Health
Issue number22
Publication statusPublished - 01-11-2021

All Science Journal Classification (ASJC) codes

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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