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Over the four-year observation period the incidence of malaria declined significantly from 0.93 episodes per person-year in 2005 to 0.39 episodes per person-year in 2008 (p < 0.0001) and the incidence of non-malaria fevers declined significantly from 2.31 episodes per person-year in 2005 to 1.31 episodes per person-year in 2008 (p < 0.0001). Younger age was associated with a significantly greater incidence of malaria and the incidence of malaria was significantly higher during seasonal peaks occurring each January-February and May-June. Changes in SPR produced reasonably accurate estimates of rΔIm over all time intervals. The average absolute difference in observed and estimated values of rΔIm was lower for six-month intervals (0.13) than it was for two-month (0.21) or 12 month intervals (0.21).
Over the four-year observation period there were a total of 925 episodes of malaria and 2,233 episodes of non-malaria fever, resulting in an incidence of malaria of 0.73 per person-year, and an incidence of non-malaria fever of 1.76 per person-year. Observed data for the incidence of malaria and non-malaria fever over two-month time intervals are presented in Table 2. Both the incidence of malaria and the incidence of non-malaria fever were significantly associated with age and time of year (Table 3). Children 4-5 years of age had a similar incidence of malaria compared to those 6-7 years of age (0.91 vs. 0.72 episodes per person-year, p = 0.22), but a significantly higher incidence of malaria compared to those 8-10 years of age (0.91 vs. 0.58 episodes per person-year, p = 0.001). Children 4-5 years of age had a significantly higher incidence of non-malaria fever compared to older children (2.18 vs. 1.58 episodes per person-year, p < 0.0001) but the incidence of non-malaria fever was similar for those 6-7 years of age compared to those 8-10 years of age (1.66 vs. 1.50 episodes per person-year, p = 0.13). The incidence of malaria was significantly higher during the months of January-February and May-June following the two rainy seasons compared to the rest of the year (1.18 vs. 0.51 episodes per person-year, p < 0.0001). The incidence of non-malaria fever had a single peak during the months May-June that was significantly higher compared to the rest of the year (2.52 vs. 1.61 episodes per person-year, p < 0.0001). Over the four-year observation period the incidence of malaria declined significantly from 0.93 episodes per person-year in 2005 to 0.39 episodes per person-year in 2008 (p < 0.0001) (Table 1). Over the four-year observation period the incidence of non-malaria fevers also declined significantly from 2.31 episodes per person-year in 2005 to 1.31 episodes per person-year in 2008 (p < 0.0001) (Table 1). The majority of non-malaria fever cases (80%) were due to one of four diagnoses; common cold, pharyngitis, upper respiratory tract infection, and fever not otherwise specified. 2b1af7f3a8