We detected a cluster of dengue virus infections in children in Kenya during July 2014-June 2015. Most cases were serotype 1, but we detected all 4 serotypes, including co-infections with 2 serotypes. Our findings implicate dengue as a cause of febrile illness in this population and highlight a need for robust arbovirus surveillance.

Although anemia in preschool children is most often attributed to iron deficiency, other nutritional, infectious, and genetic contributors are rarely concurrently measured. In a population-based, cross-sectional survey of 858 children 6-35 months of age in western Kenya, we measured hemoglobin, malaria, inflammation, sickle cell, α-thalassemia, iron deficiency, vitamin A deficiency, anthropomet...

OBJECTIVES To describe the characteristics and outcomes of children registered for care in a large HIV care programme in Western Kenya. DESIGN A retrospective descriptive study. SETTING USAID-AMPATH HIV clinics in health centres; district and sub-district hospitals; Moi Teaching and Referral Hospital in Western Kenya. SUBJECTS HIV-infected children below age of 15 years seen in a network ...

The question of the determinants of the adoption of new technology in agriculture is of central interest to both academics and policy makers. In this paper, we report the results from a unique set of field experiments conducted in Western Kenya over five years, which were designed to investigate a range of hypotheses on the determinants and barriers to the adoption of a profitable technology. I...

BACKGROUND Cancer of esophagus is the 9 th It is aggressive with poor prognosis especially in its late stage. Cancer of esophagus is geographically unevenly distributed with high incidence found within sharply demarcated geographic confines. Earlier reports from this country indicated relatively high proportion of cases in residents of Western and Central provinces with low incidence in the res...

AIM To explore lay perceptions of causes, severity, presenting symptoms and treatment of breast cancer. METHODS In October-November 2012, we recruited men and women (18 years and older) from households and health facilities in three different parts of Western Kenya, chosen for variations in their documented burdens of breast cancer. A standardized and validated tool, the breast cancer awarene...

A cross-sectional study was conducted from September to December 1998 among 300 children aged 1-3 years in Bungoma district of western Kenya. This is an area endemic for malaria with a high prevalence of vitamin A deficiency. In 1993 the prevalence of vitamin A deficiency was 37.8%. In the present study effects of vitamin A deficiency on health and growth of children were studied. Twenty-nine p...

INTRODUCTION Cholera is a disease caused by the bacterium Vibrio cholera and has been an important public health problem since its first pandemic in 1817. Kenya has had numerous outbreaks of cholera ever since it was first detected there during 1971. In August 2010 an outbreak of cholera occurred in Kuria West District spreading to the neighboring Migori District. We conducted an investigation ...

OBJECTIVE To learn lessons from a traditional midwifery workforce in Western Kenya. DESIGN With the assistance of an interpreter, qualitative data was collected during in-depth individual and group interviews with traditional midwives. English components of the interviews were transcribed verbatim and the data thematically analysed. SETTING A rural, economically disadvantaged area of Wester...

For the past ten years, we have been exploring the relationship between schistosomiasis and human immunodeficiency virus (HIV-1) and how coinfection with both agents may affect the pathology and progression of each infection. To date, given the systems we have examined, the effects of HIV-1 on schistosomiasis have been more profound than the effects of schistosomiasis on HIV-1 progression. Addi...