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Malaria: A Devastating Public Heath Concern

Malaria: The Deadly Disease

Background on the Disease
Anopheles mosquitos: The Vector
Plasmodium: The Parasite
Symptoms and Diagnosis
Treatment and Prevention
Economic Consequences
"84% of the blood transfusions given in March-June 2000 in a major hospital in Kinshasa (Democratic Republic of Congo) were for anemia caused by malaria." [3]
 

Symptoms

     Humans can manifest the disease at a number of different stages.  For persons that have been exposed to the parasite earlier in life, they have acquired a degree of protective immunity that can keep them from dieing of the infection.  The most susceptible members of the community are children under 5 years of age and pregnant women.  Malaria impacts many different parts of the body. The primary infection occurs in the liver.  Disrupting liver function is an important detriment of the disease.  Generally the disease is characterized by high fever during times when the parasite is free in the blood. A sever consequence occurs when the parasite successfully crosses the blood brain barrier entering the brain, causing cerebral malaria.  If this does not lead to death, it leads to life-long debilitation. 

     "Malaria is characterized by fever, shivering, pain in the joints, headache and repeated vomiting. The parasite lives in red cells and eventually ruptures them, creating anemia. Severe anemia is often the cause of death in areas with intense malaria transmission. If left untreated, the disease progresses to severe malaria and results in convulsions and coma. Severe malaria often causes death if there is no treatment. " [4]

child with cerebral malaria infected cells
child with cerebral malaria     [1]             cells infected by the malaria parasite [2]

Diagnosis

Malaria is either diagnosed via a clinical diagnosis, or by detection of the causative parasite or its product(s).  The most commonly used method is microscopic diagnosis.  A more rapid diagnostic test is based on immunochromatographic techniques.  The later does not require a microscope, an energy source, and a skilled microscopist.  There are pros and cons to all detection methods.

[1] http://www.malaria-vaccines.org.uk/1.shtml accesed on 5/1/06

[2] http://www-micro.msb.le.ac.uk/224/Malaria.html accessed on 4/15/06

[3] www.cdc.gov/Malaria/facts.htm accessed on 5/1/06

[4] http://www.sbri.org/diseases/malaria.asp accessed on 5/1/06

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