Malaria
Any fever can be malaria, which is spread by bite of infected female anopheles mosquito as it contains malaria parasite in its salivary gland.
The female anopheles
mosquito needs blood meal to lay eggs and injects malarial parasite.
The malarial parasite is
called Plasmodium. (PVivex,P
Falciparm, P.Oval,P. Malaral)
Agent. It is Malaria Parasite which is of four types.
Falciparm, P.Oval,P. Malaral)
1.Plasmodium vivax (it is very common about 70% cases are of this type)
2.Plasmodium falciparm (It will cause cerebral malaria and about 25 to 30% cases are present.)
3.Plasmodium ovale (It is rare)
4.Plasmodium malaral (It is also very rare.)
Host:
1.Malaria is common in all age groups and in both the sexes
2.Malaria during pregnancy is of high risk
3.Migration of population is also responsible for spread of malaria infection,
Environment:
1.Mosquito is present in ill ventilated and in dark rooms
(ill lighted)
2.Over head tanks.which are open, cause mosquito breeding
3.Desert coolers in which water is collected for long period
4.In rainy season,there is collection of water at various places which are named
as follows:
as follows:
A.Temporary breeding places
B.Permanent breeding places.
C.Pits, pot holes construction places
D. Material over the roof like tyres. tincortainers, empíy botties etc where rainy water is collected causing breeding of mosquitoes
Complications:
1.Chill and vigor
2.Very high fever resulting in death
3.Severe Anaemia
4.Brain fever(Cerebral malaria), Pernicious malaria
5.Swelling of lungs
6.Jaundice
Life Cycle of Anopheles Mosquito
1. Eggs
2. Larva
3. Pupa
4. Adult
Life Cycle of Malaria Parasite
1. Sexual LifeCycle: In stomach of Female Anopheles Mosquito
2 Asexual LifeCycle: In Man
Control
1. Case Finding by Active and Passive Surveillance (By
searching cases and drawing
slides of fever cases.)
2. Avoid bite of mosquitoes (Use of Mosquito net /Repellants/Coils/Mats
3.Anti-larval and Adult measures-By spray
Clinical features:
i.High fever, chill and rigor
ii.Cold stage:patient feels very cold and will cover his body with one or two blankets.
iii.Hot stage:after sometime he removes blanket as he is not Feeling cold
iv.Sweating stage:lot of sweat comes out and temperature comes down
v.Enlarged spleen
vi.Anaemia: weight loss
5.The mosquito usually bites in the evening so the children should not be allowed to play outside
Prevention of Dengue/Malaria
* Avoid mosquite bite by wearing full sleeves clothes.
» Use of mosquito repellents/coils.
- Use of mosquito nets.
» Drain out water from desert coller/tank/tins/Tyres etc.
» Over head tanks should be tightly closed to avoid mosquito breeding
» Any fever could be Malaria/Dengue send the patient to Hospital.
Role of Health Worker:
Role of Health Worker:
1. Surveillance of fever cases (Search for cases and find)
2. Make thick and thin blood slide and send it to malaria/clinic laboratory for diagnosis.
3. Collect the reports and if Blood smear is M.P+ve, send the case to doctor for treatment.
4. Detect mosquito breeding places and take Anti Larval and Anti Adult measures.
5. Insecticidal spraying
6 Health Education
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