Malaria

Here’s what I know of malaria – it makes me feel like “shyte”. And, I’ve got it again – damn the mosquitoes. I’ve started my round of malaria meds and will be back on my feet again in a week or so… and will update all when symptoms calm down.

From the World Health Organization website – accessed on a day when I’m barely able to lift a finger to keyboard… but must take advantage of power and internet connectivity.

Malaria is caused by a parasite called Plasmodium, which is transmitted via the bites of infected mosquitoes. In the human body, the parasites multiply in the liver, and then infect red blood cells.

Symptoms of malaria include fever, headache, and vomiting, and usually appear between 10 and 15 days after the mosquito bite. If not treated, malaria can quickly become life-threatening by disrupting the blood supply to vital organs.

Key interventions to control malaria include: prompt and effective treatment with artemisinin-based combination therapies; use of insecticidal nets by people at risk; and indoor residual spraying with insecticide to control the vector mosquitoes.

From the World Malaria Report – 2009.

• Half of the world's population is at risk of malaria.
• An estimated 243 million malaria cases occurred in 2008.
• An estimated 863 000 malaria deaths occurred in 2008; 767 000 of those (89%) occurred in Africa.

From the Malaria Foundation International.

• Malaria is estimated to cause 300- 500 million clinical cases and over one million deaths each year.
• Every 30 seconds, a child somewhere dies of malaria. In any given year, nearly ten percent of the global population will suffer a case of malaria.
• Most survive after an illness of 10-20 days.
• Children are especially vulnerable to malaria. In Africa, where 80% of malaria cases are treated at home, the disease kills one child in twenty before the age of five.
• Pregnant women are also at high risk. They have an increase risk of disease and death, as well as adverse impacts for their developing babies- including low birth weight, growth retardation, still births and death.
• In African countries, up to 60% of hospital admissions may be for malaria; that's 6 out of 10 admissions!

I’ll survive because I’m a fortunate “pink” and can afford the medication, get to a pharmacy, take a day or two off work and get someone to bring me bread and water. For many of my neighbours, children, workers and non-workers in Sierra Leone, their options are far fewer. It’s scary out here…

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