15 FAQ of Malaria

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  1. What is malaria?
  2. A vector-borne disease caused by Plasmodium parasites, transmitted via Anopheles mosquitoes.
  • 2. What are the symptoms of malaria?
  • Fever, chills, sweating, headache, nausea, vomiting, muscle pain, and fatigue.
  • 3. How is malaria diagnosed?
  • Microscopic examination of blood smears, rapid diagnostic tests (RDTs), or polymerase chain reaction (PCR).
  • 4. What are the types of malaria parasites?
  • Plasmodium falciparum, vivax, ovale, malariae, and knowlesi.
  • 5. Which type is the most severe?
  • Plasmodium falciparum, due to potential complications like cerebral malaria, severe anemia, and organ failure.
  • 6. What is the first-line treatment for uncomplicated falciparum malaria?
  • Artemisinin-based combination therapies (ACTs), e.g., artemether-lumefantrine, artesunate-amodiaquine.
  • 7. When is hospitalization required for malaria?
  • Severe cases (e.g., cerebral malaria, severe anemia, renal failure) or if rapid progression is expected.
  • 8. What is the role of doxycycline in malaria treatment?
  • Used as a partner drug in ACTs or for radical cure of P. vivax/ovale (targets liver stages).
  • 9. Why is mefloquine sometimes avoided?
  • Risk of neuropsychiatric side effects (e.g., depression, psychosis), though it remains useful in some regions.
  • 10. How is malaria prevented in endemic areas?
    • Insecticide-treated nets (ITNs), indoor residual spraying (IRS), and antimalarial prophylaxis (e.g., atovaquone-proguanil).
  • 11. What is the incubation period for malaria?
    • Typically 7–30 days for P. falciparum; longer for P. vivax/ovale (due to liver hypnozoites).
  • 12. Can malaria be transmitted non-vesicularly?
    • Yes: blood transfusion, organ transplant, or congenital transmission.
  • 13. What is the role of primaquine in malaria?
    • Radical cure for P. vivax/ovale (eliminates liver hypnozoites); requires G6PD testing to avoid hemolysis.
  • 14. How is drug resistance monitored?
    • Through surveillance of treatment failure rates and molecular markers (e.g., Pfkelch13 for artemisinin resistance).
  • 15. What is the global burden of malaria?
    • ~247 million cases and ~619,000 deaths annually (WHO 2022), with sub-Saharan Africa most affected.