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How can I reduce the risk?
You
shouldn't allow water to stagnate, as this forms a breeding
ground for malaria's deadly carriers, the Anopheles mosquito.
At community level water shouldn't be allowed to stagnate and
whenever feasible, water should be drained. Fro efficient
control, spraying can be undertaken using pesticides by
certified authority. At home, you should change water in
flower pots, buckets, coolers etc. at least twice a week.
Ventilation of socket outlet pipes should be properly covered
with nets. Mosquito nets and door screens also help. But these
methods are not convenient. Mosquito repellants like mats,
coils, refills, etc., should be sued regularly to keep
mosquitoes away.
Warding off & minimisation of exposure to mosquitoes
1. Avoidance of night-time outside activities.
2. Avoid dark coloured clothing as it attracts mosquitoes.
Some perfumes, cologne and aftershave are also reported
to
attract.
3. Clothing to cover arms and legs in the evenings as
mosquitoes prefer the leg ankle region.
4. Spend time in air-conditioned offices and hotels that are
generally free from mosquitoes.
5. Use mosquito bed nets if sleeping in unscreened rooms or
open spaces.
6. If mosquitoes are present in an otherwise screened room,
spray with insecticide.
7. Use reliable mosquito repellents:
Use a dependant insecticide aerosol in the room to kill
mosquitoes before retiring. Use knock down sprays.
Use mosquito coils or vaporising mats.
Use electronic repellements.
You cannot depend on medication alone to prevent malaria.
Avoidance of bites is the best protective plan. Consistent use
of these measures both during day and night will not only
prevent just malaria and filaria, but also dengue, a day-time
biting mosquito disease. It is advisable to carry some form of
mosquito repellent while traveling-: either sprays, creams,
lotions, mats or coils.
Malarial control history in India
1946: India started using DDT
1953: NMCP is started
1958: NMCP becomes the NMEP
1959: The first time vector resistance is detected in
India (In Gujarat)
1965: Malaria begins to re-emerge
1976: Peak of malaria cases in re-emergence period
1977: India starts MPO and PfPC
1985: 2 million annual cases of malaria in India
1991: Peal of P.falciparum cases
1994: Large scale epidemics, primarily in eastern India
and western Rajasthan.
Control of mosquito borne diseases
· Population shift from rural to urban areas
· Improved housing and nutrition
· Better socio-economic conditions
· Better living standards
· Improved surveillance has allowed treatment of parasitemic
persons
· Screening of houses
· Insecticide spraying by certified authority.
· House spraying (residual insecticide- spray programme)
Treatment of Malaria
A malaria vaccine is under development but is not available.
However, the following prescription drugs can prevent malarial
infection and always should be taken with travellers visiting
areas with high rates of malaria. The type of medication
recommended depends on the rate of resistance to the drug
chloroquine in the countries you are living or visiting.
Chloroquine is a treatment of choice for malaria. But it is
recommended only in countries where the malaria parasites are
not yet resistant to it.
Mefloquine is now being used widely because many malaria
causing parasites have become resistant to Chloroquine.
Doxycycline is an antibiotic also effective in suppressing
malarial parasites. This drug has one disadvantage. It makes
some people hypersensitive to the sun. A hat and sunscreen
should be used when taking this drug.
Please consult a doctor for the exact prescription
combination, dosage, usage and duration.
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