QUESTION What are the treatments and management of malaria? ANSWER Treatment is actually part of the strategy for managing malaria, so I will come back to that later. The other main ways in which malaria is controlled is through prevention, diagnosis (followed by treatment if necessary) and education. 1) Prevention: There are a number of ways to prevent malaria. These can be placed … [Read more...]
Comparison of Molecular Tests for the Diagnosis of Malaria in Honduras
Honduras is a tropical country with more than 70% of its population living at risk of being infected with either Plasmodium vivax or Plasmodium falciparum. Laboratory diagnosis is a very important factor for adequate treatment and management of malaria. In Honduras, malaria is diagnosed by both, microscopy and rapid diagnostic tests and to date, no molecular methods have been implemented for … [Read more...]
Malaria Prophylaxis in Ghana, Africa
QUESTION My husband will be traveling to Ghana soon. We have Mefloquine and Primaquine. Which one do you think is best for prophylaxis in Ghana? He also has Fansidar, but we understand it's best not to use this for prophylaxis. Thank you for your help! ANSWER There are positives and negatives associated with both of these medications. Mefloquine is recommended for travelers in Ghana … [Read more...]
As American as…Plasmodium vivax?
While its evolutionary history is disputed, there’s no doubt malaria was a key factor in the history of the Americas I am in the midst of a fascinating book about the way the world changed after Columbus “discovered” America in 14921. Called, appropriately, 1493: Uncovering the World Columbus Created, it is author Charles C. Mann’s follow-up to an earlier, equally engaging book on pre-Colombian … [Read more...]
Malaria Effects on the Body
QUESTION What are the effects of malaria on the body? ANSWER Malaria has a number of effects on the body. The parasite passes from the blood (where it enters via the bite of an infected mosquito) into the liver, where it reproduces and changes form. After a period of 1-4 weeks (usually - it can be longer) in the liver, the malaria parasite re-enters the blood and begins to infect red … [Read more...]
Reoccurring Malaria
QUESTION Can malaria reoccur year after year from a single infection? I have been told that it comes back every year by many people. I have had malaria once and it never came back after successful treatment. My thinking is that once the parasite has been eliminated from the system it is gone unless you get bitten again. ANSWER There are several different types of malaria that infect … [Read more...]
Malaria Prevention
QUESTION What are the ways in which you can prevent yourself from being infected with malaria? ANSWER Malaria prevention consists of a combination of mosquito avoidance measures (since malaria is transmitted by infected mosquitoes) and chemoprophylaxis (medication to prevent the establishment of malaria in your body, if you do get bitten). Although very efficacious, none of the … [Read more...]
Treatment of Chronic Vivax Malaria
QUESTION What is the treatment of chronic Vivax malaria? ANSWER Blood stage infection with Plasmodium vivax can usually be treated successfully with chloroquine, though resistance is spreading in some areas (notably the Pacific Islands, Papua New Guinea, parts of south-east Asia and especially Indonesia, and Peru). P. vivax is also sensitive to artemisinin-based combination therapies … [Read more...]
Malaria Symptoms
QUESTION How does the virus cause the symptoms? ANSWER Malaria is actually not caused by a virus—it is caused by a microscopic single-celled parasite called Plasmodium. Several different species cause malaria in humans, the most common of which are P. vivax and P. falciparum. To describe the process in a very oversimplified way, the malaria parasites cause disease by infecting … [Read more...]
Malaria Testing
QUESTION My daughter is in Kigoma, Tanzania and has the symptoms of Malaria. She was given Duo Cotecxin and it seems to have started making her feel better. But after reading up on all the different types of Malaria parasites I am wondering if a blood test reading at a clinic would be recommended or is it too late for an accurate reading now that she is on meds? ANSWER I am always very … [Read more...]