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AIACC AF91

AIACC AF91. HEALTH Presented by Dr. A. K Githeko PhD Head: Climate and Human Health Research Unit, Kenya Medical Research Institute. Scope of primary data collection. Indicators of wealth Knowledge, attitude and practice Impacts

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AIACC AF91

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  1. AIACC AF91 HEALTH Presented by Dr. A. K Githeko PhD Head: Climate and Human Health Research Unit, Kenya Medical Research Institute

  2. Scope of primary data collection • Indicators of wealth • Knowledge, attitude and practice • Impacts This presentation will focus on malaria in Western Kenya Highlands

  3. A typical malaria epidemic in Western Kenya

  4. Geographic location Climate variability Quality of housing Vector control Immunity Accuracy of diagnoses Availability of medical facilities Accessibility of health facilities Efficacy of drugs Affordability of drugs Frequency of infections Size of susceptible population Factors affecting Malaria impacts

  5. Parameterization of factors • The contributing factors to vulnerability will be converted into numerical parameters reflecting their linearity or non-linearity • Summation of the factors will provide a composite index of estimating vulnerability • This index is a measure of departure from the ideal health conditions required for adaptation

  6. Risk parameterization matrix

  7. Conceptual framework • Exposure + vulnerability = Disease (Impacts) • Adaptation is the ability to reduce exposure and vulnerability to diseases • Exposure to infection is reduced by vector control • Disease is controlled with effective drugs

  8. Location of households

  9. Level of education

  10. Marital status

  11. Number of people in house hold

  12. Source of income

  13. Total cash per month

  14. Proportion of families without enough food in some days

  15. Land ownership

  16. Access to information

  17. House quality

  18. Accessibility of health facilities

  19. Proportion of people visiting or admitted in hospitals in the last three months

  20. Cost of last treatment in K.Sh

  21. How do you consider the cost of treatment ?

  22. How do you cope with more malaria ?

  23. Drugs bought for self treatment

  24. Awareness about malaria treatment and prevention

  25. Number of bed nets per house

  26. Other malaria control methods

  27. Future directions in data collection

  28. Anomalies in Max temperatures in Western Kenya

  29. Frequency of = >3C events: observed and expected: Possible scenarios

  30. Increase in significant events per decade follows an exponential model

  31. Malaria outbreaks occur after positive maximum temperature anomalies

  32. Acknowledgement • Faith Githui MSc PhD trainee • Richard Oriedo MSc PhD Trainee • James Kathuri MSc • Eugene Apindi BSc • Lydia Olaka MSc • Dr. Maggie Opondo PhD • Dr. Dan Olago PhD • Prof. Shem Wandiga

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