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Ovid: Oxford Handbook of Tropical Medicine

Editors: Eddleston, Michael; Pierini, Stephen; Wilkinson, Robert; Davidson, Robert Title: Oxford Handbook of Tropical Medicine, 2nd Edition Copyright ©2005 Oxford University Press (Copyright 2005 by M. Eddleston, S. Pierini, R. Wilkinson, and R. Davidson) > Table of Contents > Chapter 2 > Chapter 2A – Malaria > Future perspectives Future perspectives There was once the belief that a combined strategy of treatment, prophylaxis, control measures, and a successful vaccine would eradicate malaria. The aim of eradication has been dismissed, largely because the assumptions that were made at the time of planning were not practical. The current aims are to reduce morbidity, prevent mortality, and reduce socio-economic loss. Efforts continue around the world to produce an effective vaccine — an elusive goal, although several are currently being tested. The sequencing of the malarial parasite’s genome will hopefully lead to the development of new drugs to obviate the problem of resistance. Until that time, however, education must remain one of our strongest tools. Role of education

  • To promote prompt and effective diagnosis and treatment, educating the population as to when to seek treatment, when prophylaxis is required, and the importance of compliance with treatment.
  • To reduce contact between mosquito and humans, particularly the development and implementation of insecticide-treated bednets.
  • To control mosquito breeding by draining stagnant water, removing litter and debris that retain water and provide a mosquito breeding ground, and using larvicides and larvivorous fish in mosquito breeding pools. DDT spraying is still widely used but may eventually be replaced by new methods.

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Fig. 2A.7 Areas of multidrug-resistant malaria.

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