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ART: antiretroviral therapy; n' number and percentage of only confirmed malaria cases When considering only confirmed malaria cases, IR were lower (Table 2).
The period with the highest temperatures was not associated with confirmed malaria case, but rainfall was followed by confirmed malaria case.
In fact, evidence suggests a higher mortality in children diagnosed and treated for malaria without microscopic confirmation compared to those who benefited from microscopically confirmed malaria [ 4].
In response to widespread overuse of antimalarial drugs, the World Health Organisation changed guidelines in 2010 to restrict the use of antimalarials to parasitologically confirmed malaria cases.
This is to be expected as very few outpatient cases (0.19%) were RDT confirmed malaria.
Therefore we analysed the geographical distribution of households of a sample of 285 confirmed malaria cases presenting to these facilities.
From all the outpatient records we only collected laboratory confirmed malaria cases for every month for eight years.
During this study, adult patients accounted for about 50% of all confirmed malaria cases at the dispensary.
Similar to ill children detected during active follow-up, only children with RDT or microscopy confirmed malaria illness were treated with Coartem®.
Finally, some districts had no confirmed malaria cases (n = 152).
We then analysed the correlations between temperature and confirmed malaria cases and between rainfall and confirmed malaria cases.
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