The influence of environmental factors on childhood fever during the rainy season in an African city: a multilevel approach in Dakar, Senegal

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Web End = Popul Environ (2015) 36:429451

DOI 10.1007/s11111-014-0224-1

ORIGINAL PAPER

Stphanie Dos Santos Iulia Rautu Mody Diop

Mahaman Mourtala Abdou Illou Alphousseyni Ndonky

Jean-Yves Le Hesran Richard Lalou

Published online: 31 October 2014 Springer Science+Business Media New York 2014

Abstract In African growing cities, vector-borne diseases (such as malaria and dengue) contribute to a large burden of childhood morbidity and mortality. During the peak of transmission, environmental factors can have an inuence on those fevers, apart from the individual and household characteristics. A household survey conducted in 2008 in Dakar was completed by a community questionnaire on environmental threats that could be factored into multilevel analyses. Using a randomized sample of 7,300 children from 3,000 households dispatched within 50 neighborhoods, a three-level modeling process is presented. Rates of recent fever

S. Dos Santos (&)

Laboratoire Population-Environnement-Dveloppement (IRD/AMU), Institut de Recherche pour le Dveloppement, BP 182, Ouagadougou 01, Ouagadougou, Burkina Fasoe-mail: [email protected]

I. Rautu

Centre de recherche en dmographie et socits, Institut danalyse du changement dans lhistoire et les socits contemporaines, Universit catholique de Louvain, 1, Place Montesquieu, boite L2.08.03, 1348 Louvain-la-Neuve, Belgium

M. Diop

Agence Nationale de la Statistique et de la Dmographie, BP 116, Point E, Dakar, Senegal

M. M. Abdou Illou

Cellule dAnalyse et de Prospective en Dveloppement - Cabinet du Premier Ministre (Rpublique du Niger), Avenue du Mounio, BP 13568, Niamey, Niger

A. Ndonky R. Lalou

Laboratoire Population-Environnement-Dveloppement (IRD/AMU), Institut de Recherche pour le Dveloppement, BP 1386, Dakar, Senegal

J.-Y. Le Hesran

Unit mre et enfant face aux infections tropicales, Laboratoire de parasitologie, Facult de pharmacie, Institut de Recherche pour le Dveloppement, 4 Avenue de lObservatoire, 75270 Paris Cedex 6, France

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Web End = The inuence of environmental factors on childhood fever during the rainy season in an African city:a multilevel approach in Dakar, Senegal

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430 Popul Environ (2015) 36:429451

varied substantially from one neighborhood to another, ranging between 10 and 37 %. Findings indicate that the onset of fever is inuenced by factors from all three hierarchical levels, with neighborhood factors playing a relatively lower role than the other...