A preventable and curable disease

According to the World Health Organization (WHO) malaria is a disease that is both preventable and curable. Malaria has been brought under control and even eliminated in many parts of Asia, Europe and the Americas. However in many endemic countries in Africa, malaria infection rates continue to rise in spite of intensified efforts by governments and civil society. Reasons include increasing resistance of mosquitoes to drugs and weak health systems.  

 

Experts agree that to control malaria and to ultimately ensure that families can live malaria-free lives; an integrated package of control interventions that focus entirely on relatively simple yet proven solutions is needed. 

 

Current prevention methods

  • Most malaria-carrying mosquitoes bite at night. Consequently Insecticide-Treated Nets (ITNs), if maintained and used properly, can provide an effective protective barrier. Regular use of ITNs can reduce malaria-related deaths by about 20% in both adults and children.
  • Indoor Residual Spraying (IRS); specialised teams spraying the inside walls of a house with insecticide which helps to kill the mosquito.
  • Prevention methods for pregnant women include administrating treatment doses of antimalarials every two months during pregnancy during routine antenatal clinic visits, known as Intermittent Preventative Treatment (IPT). This helps protect pregnant women from anaemia, malaria-related low birth weight and possible death. In Nigeria, it is reported that due to malaria there are around 11% of deaths among pregnant women. Throughout the whole of sub-Saharan Africa, there are approximately 200,000 infant deaths each year due to malaria-related low birth weight.
  • Information and education are key to malaria prevention efforts. Education campaigns are crucial, focusing on the correct use of ITNs, how to recognise the symptoms of malaria in adults and children, treatment of malaria, how to protect pregnant women and their unborn children and where appropriate, the importance of IRS. 

Malaria treatment

  • In general, malaria is a curable disease if diagnosed promptly and treated correctly. The majority of deaths from severe malaria in children are caused by delayed diagnosis and treatment – people simple cannot get their children to a health clinic in time. Malaria can be fatal within a matter of hours or days, so minimising delays in treatment are vital.
  • Poorly stocked health facilities and hospitals as well as a lack of trained health workers to supervise diagnosis and treatment hamper successful treatment of malaria in many developing countries. Therefore strengthened health systems with sustainable financing are fundamental to effectively treating malaria.
  • One of the greatest challenges in the fight against malaria is drug resistance. Resistance to the cheapest and most widely used antimalarial drug, chloroquine, is common throughout Africa. New Artemisinin-Based Combination Therapies (ACTs) now provide highly effective alternate medicine to treat malaria and can slow resistance. This is however very costly; an adult dose of ACT costs around US$ 1-3, which is 10 to 20 times more expensive than previously used antimalarials.

Further reading

Here is a list of websites where you can obtain more information on malaria transmission, prevention and treatment:

 

Go to our Links page to see other organisations that focus on malaria.