Table 6.

Age-matched comparison of severe malaria among urban Dogon cases

Severe cases, No.Control cases, No.OR (CL)P
Hemoglobin type     
 AA 44 76   
 AC or CC 16 0.22 (0.02-1.00) .06 
 AS 1.00 (0.09-7.36) .66  
Clinical features     
 Total cases 48 96   
 Mean age, y (IQR) 5.0 (2-4) 5.0 (2-5)   
 Urban residence,
No. cases (%) 
48 (100) 96 (100)   
 Cerebral manifestations 26   
 Severe anemia (hct<15%)   
 Hyperparasitemia (Ep>5×105/μL) 15   
 Respiratory distress
or shock 
  
 Severe prostration   
Severe cases, No.Control cases, No.OR (CL)P
Hemoglobin type     
 AA 44 76   
 AC or CC 16 0.22 (0.02-1.00) .06 
 AS 1.00 (0.09-7.36) .66  
Clinical features     
 Total cases 48 96   
 Mean age, y (IQR) 5.0 (2-4) 5.0 (2-5)   
 Urban residence,
No. cases (%) 
48 (100) 96 (100)   
 Cerebral manifestations 26   
 Severe anemia (hct<15%)   
 Hyperparasitemia (Ep>5×105/μL) 15   
 Respiratory distress
or shock 
  
 Severe prostration   

Each urban case of severe malaria among the Dogon ethnic group was randomly matched with two uncomplicated malaria control cases from within Bandiagara, Mali, that were in the same ethnic group and age group (0-2 years, 3-6 years, 7-15 years, or more than 16 years). The Mantel-Haenszel weighted summary OR with exact 95% CL are from comparison of the AC and CC versus AA and AS hemoglobin types, or of the AS versus non-AS hemoglobin types, between cases and controls after stratification by age.

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