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Malaria....Discuss current recommendations for prevention and control of your se

ID: 80486 • Letter: M

Question

Malaria....Discuss current recommendations for prevention and control of your selected disease. You are expected to identify and discuss the key aspects of current public health prevention and control strategies for your chosen disease in your chosen population of reference, including secondary prevention measures if these are relevant. Your discussion should be sufficiently detailed that a person previously unfamiliar with the recommendations would be able to understand them. You should try to relate recommended measures to biological and epidemiologic features of the disease that you have presented earlier in your essay. You should indicate if you believe that currently recommended measures are appropriate and likely to be effective, and why.

Explanation / Answer

Answer:

Current recommendation for prevention and control of Malaria:

1) The chemoprophylaxis (by using chloroquine) was recommented to control the malaria in all group of people. However, currently, chemoprophylaxis is recommended as a short term measure only for some specific group people. Such as:

The chemoprophylaxis, is now not recommended for pregnant women, infants and young children, considering the spread of chloroquine resistance and adverse effect of the used drugs. For these pecefic group of people, the intermittent preventive treatment (IPT) are recommended. The IPT is a full therapeutic course of antimalarial medicine to be given routinely to pregnant women (despite the pregnant women is infected with malaria or not) from second trimester of pregnancy. It includes the sulfadoxine-pyrimethamine administration.

2) Integrated vector management (IVM): The ultimate goal of IVM is to prevent the transmission of vector-borne (vector is Anopheles gambiae) diseases i.e. malaria. The IVM approach includes:

3) Secondary prevention strategies: It includes the detection of new cases of infection in a population, at the earliest stage of disease thus, risk of infection is prevented from further spreading in respective population.

The secondary prevention strategies includes to educate the population about signs of malaria illness during systematic routine surveillance, and to detect and report new cases of illness quickly and immediately respond with effective treatment.

These 3 recommended measures are appropriate and likely to be effective to prevent and control malaria as:

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