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MALARIA MALARIA By: LAURETE, STEPHANIE O.
MALARIA 	-isan infectious disease 	caused 	by a parasite that is 	transmitted 	by the bite of 	infected mosquitoes. Common 	in tropical countries, the disease 	is characterized by recurring 	chills and fever.
What are the parasites that cause Malaria? (GENUS)“Plasmodium” parasites 			cause Malaria in humans. 	*Five  species of “Plasmodium”:
A microscopic image shows parasites of the genus “Plasmodium”
Mode of Transmission 	Infected female 	“Anopheles” mosquitoes 	transmit Plasmodium 	parasites 	from one person 	to another in their bites.
There are approximately 2,000 species of mosquitoes ranging from the tropics to the Arctic Circle and from sea level to mountaintops. Female mosquitoes have hypodermic mouthparts which enable them to pierce the skin and suck the blood of mammals, birds, reptiles, and other arthropods. Female mosquitoes of the genus Anopheles are responsible for transmitting the malaria parasite from person to person.
Life Cycle of the Malaria Parasite (MORE EXPLANATIONS)
Normal Red Blood Cells  Sickled Red Blood Cells  	is that the hemoglobin in the human bloodstream is severely altered. The mutation changes the structure of red blood cells to a slender sickle shape. Individuals who inherit two hemoglobin genes with the sickle-cell mutation become ill and often die prematurely, but those who inherit only one gene with the mutation are resistant to malaria.
SYMPTOMS OF MALARIA  	The symptoms characteristic of malaria include flulike illness with fever, chills, muscle aches, and headache. Some patients develop nausea, vomiting, cough, and diarrhea. Cycles of chills, fever, and sweating that repeat every one, two, or three days are typical. There can sometimes be vomiting, diarrhea, coughing, and yellowing (jaundice) of the skin and whites of the eyesdue to destruction of red blood cells and liver cells. 	People with severe P. falciparum malaria can develop bleeding problems, shock, liver or kidney failure, central nervous system problems, coma, and can die from the infection or its complications. Cerebral malaria (coma, or altered mental status or seizures) can occur with severe P. falciparum infection. It is lethal if not treated quickly; even with treatment, about 15%-20% die
How to Prevent Malaria? ,[object Object]
Use bednets when sleeping in areas infested with mosquitoes.
Use insecticides and flying insect sprays to reduce the number of mosquitoes in areas where you will be spending a significant amount of time.
When possible, avoid camping or spending prolonged amounts of time in areas where standing water is present. Keep pots and pans emptied of water. Open vessels for drinking water should be covered. Mosquitoes use areas of standing water to lay their eggs.
If you know you will be traveling in areas where malaria is prevalent, ask your doctor for antimalarial drugs.The CDC recommended malaria drugs include: atovaquone/proguanil chloroquine doxycycline mefloquine Primaquine ,[object Object]
Avoid going outdoors without protection in the 	evening, when mosquitoes are typically more 	active.
Wear long-sleeved clothing.
If possible, stay in screened quarters or quarters with air conditioning.,[object Object]
Most Common Drugs for Malaria Treatment and for prevention also: (ANTIMALARIAL DRUGS) ,[object Object],	These drugs are used as a combination to aid preventing ever having to suffer the symptoms of Malaria. Proguanil is also used with Chloroquine for Malaria Prevention. Chloroquine tablets can also be used on their own but this is not as effective. 	SIDE EFFECTS: bad stomach pain, back pains, mouth ulceration and light headedness ,[object Object],	This drug is a very effective across all countries deemed as Malaria hotspots. 	SIDE EFFECTS: bad stomach pain, skin irritation, coughing, headaches, 			possible vaginal irritation. ,[object Object],	This is another drug that is known to be effective across all Malaria hotspots.	SIDE EFFECTS: mood swings, sleep disturbance, depression , 				concentration deficit, light headedness, headaches and 			skin irritation 	DO NOT TAKE THIS if you have:epilepsy,mental illness , depression or 					anxiety.
Malaria vaccines ,[object Object],	-when injected by mosquitoes or by needle in large 	numbers, can induce complete protection against malaria 	infection in animals and in man for a year or more. ,[object Object],-A new vaccine to prevent the deadly malaria infection has 	shown promise to protect the most vulnerable patients -- 	young children -- against the disease.
Clinical Diagnosis of Malaria 	-is confirmed by blood tests and can be divided into: 1.MICROCOPIC TEST and 2.NON-MICROSCOPIC TEST 1. Microscopic test-involves staining and direct 	visualization of the parasite under the 	microscope, & it includes: 		*Peripheral smear study-  involves collection of a 		blood smear, its staining with Romanowsky 		stains and examination of the Red Blood 		Cells for intracellular malarial parasites. 		*Quantitative Buffy Coat (QBC) test- involves 			staining of the centrifuged and compressed 		red cell layer with acridine orange and its 		examination under UV light source.
2.Non-microscopic test- involves identification of 	the parasitic antigen or the antiplasmodial 	antibodies or the parasitic metabolic 	products, & it includes: 	*Rapid Diagnostic Tests (RDTs)- detect 			species-specific circulating parasite 		antigens targeting either the histidine-		rich protein-2 of P. falciparum or a 			parasite-specific lactate 				dehydrogenase. 	*Polymerase Chain Reaction (PCR)- has also 		been found useful in unraveling the 		diagnosis of malaria in cases of 			undiagnosed fever.
Where is malaria most common? ,[object Object]
It can also be a problem for people visiting 	these countries.

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MALARIA

  • 1. MALARIA MALARIA By: LAURETE, STEPHANIE O.
  • 2. MALARIA -isan infectious disease caused by a parasite that is transmitted by the bite of infected mosquitoes. Common in tropical countries, the disease is characterized by recurring chills and fever.
  • 3. What are the parasites that cause Malaria? (GENUS)“Plasmodium” parasites cause Malaria in humans. *Five species of “Plasmodium”:
  • 4. A microscopic image shows parasites of the genus “Plasmodium”
  • 5. Mode of Transmission Infected female “Anopheles” mosquitoes transmit Plasmodium parasites from one person to another in their bites.
  • 6. There are approximately 2,000 species of mosquitoes ranging from the tropics to the Arctic Circle and from sea level to mountaintops. Female mosquitoes have hypodermic mouthparts which enable them to pierce the skin and suck the blood of mammals, birds, reptiles, and other arthropods. Female mosquitoes of the genus Anopheles are responsible for transmitting the malaria parasite from person to person.
  • 7.
  • 8. Life Cycle of the Malaria Parasite (MORE EXPLANATIONS)
  • 9. Normal Red Blood Cells Sickled Red Blood Cells is that the hemoglobin in the human bloodstream is severely altered. The mutation changes the structure of red blood cells to a slender sickle shape. Individuals who inherit two hemoglobin genes with the sickle-cell mutation become ill and often die prematurely, but those who inherit only one gene with the mutation are resistant to malaria.
  • 10. SYMPTOMS OF MALARIA The symptoms characteristic of malaria include flulike illness with fever, chills, muscle aches, and headache. Some patients develop nausea, vomiting, cough, and diarrhea. Cycles of chills, fever, and sweating that repeat every one, two, or three days are typical. There can sometimes be vomiting, diarrhea, coughing, and yellowing (jaundice) of the skin and whites of the eyesdue to destruction of red blood cells and liver cells. People with severe P. falciparum malaria can develop bleeding problems, shock, liver or kidney failure, central nervous system problems, coma, and can die from the infection or its complications. Cerebral malaria (coma, or altered mental status or seizures) can occur with severe P. falciparum infection. It is lethal if not treated quickly; even with treatment, about 15%-20% die
  • 11.
  • 12.
  • 13. Use bednets when sleeping in areas infested with mosquitoes.
  • 14. Use insecticides and flying insect sprays to reduce the number of mosquitoes in areas where you will be spending a significant amount of time.
  • 15. When possible, avoid camping or spending prolonged amounts of time in areas where standing water is present. Keep pots and pans emptied of water. Open vessels for drinking water should be covered. Mosquitoes use areas of standing water to lay their eggs.
  • 16.
  • 17. Avoid going outdoors without protection in the evening, when mosquitoes are typically more active.
  • 19.
  • 20.
  • 21.
  • 22. Clinical Diagnosis of Malaria -is confirmed by blood tests and can be divided into: 1.MICROCOPIC TEST and 2.NON-MICROSCOPIC TEST 1. Microscopic test-involves staining and direct visualization of the parasite under the microscope, & it includes: *Peripheral smear study- involves collection of a blood smear, its staining with Romanowsky stains and examination of the Red Blood Cells for intracellular malarial parasites. *Quantitative Buffy Coat (QBC) test- involves staining of the centrifuged and compressed red cell layer with acridine orange and its examination under UV light source.
  • 23. 2.Non-microscopic test- involves identification of the parasitic antigen or the antiplasmodial antibodies or the parasitic metabolic products, & it includes: *Rapid Diagnostic Tests (RDTs)- detect species-specific circulating parasite antigens targeting either the histidine- rich protein-2 of P. falciparum or a parasite-specific lactate dehydrogenase. *Polymerase Chain Reaction (PCR)- has also been found useful in unraveling the diagnosis of malaria in cases of undiagnosed fever.
  • 24.
  • 25. It can also be a problem for people visiting these countries.
  • 26.
  • 27.
  • 28. During cooler seasons in some areas
  • 30. In some islands in the Pacific Ocean, which have no local Anopheles species capable of transmitting malaria
  • 31.
  • 33. P. falciparum predominates. *The highest transmission is found in Africa South of the Sahara. *In cooler regions, transmission will be less intense and more seasonal. There, P. vivax might be more prevalent because it is more tolerant of lower ambient temperatures.
  • 34. Total Population, Morbidity and Mortality by Year, 1990-2004 (PHILIPPINES)
  • 35.
  • 36.
  • 37. 2. Malaria Foundation International –is to facilitate the development and implementation of solutions to the health, economics and social problems caused by Malaria. 3. Global Malaria Programme (GMP) -is responsible for malaria surveillance, monitoring and evaluation, policy and strategy formulation, technical assistance, and coordination of WHO's global efforts to fight malaria. 4.  Roll Back Malaria (RBM) -is a cabinet-level program launched by the World Health Organization (WHO), with the goal of reducing the global burden of malaria. 5. Movement Against Malaria -has our strategies: early detection and prompt treatment, use of available technologies designed to prevent the spread of the disease, strengthening local capability to implement community- based malaria control measures, and building a wide stakeholder network to help curb the disease.