An issue report investigating Malaria, how it is affecting over the world, especially travellers to Africa, and if there are any solutions to prevent the disease.

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Malaria Issue Report

An issue report investigating Malaria, how it is affecting over the world, especially travellers to Africa, and if there are any solutions to prevent the disease.

The problem

Malaria is a huge worldwide problem. According to the world health organisations, there were 243 million cases and nearly 1 million deaths from Malaria in 2008. Most of malaria cases occur in African countries close to the equator and below the Sahara desert where the living conditions are perfect for the mosquitoes. 1; 500 travellers return to the UK with Malaria every year. In 2008, figures shows that there were six deaths from 1,370 cases of malaria in the UK. (Health Protection Report, 2009) [1]

In Africa, Malaria accounts for up to a third of all hospital admissions, and up to a quarter of all deaths of children under the age of 5. There are up to 800,000 infantile mortalities and a substantial number of miscarriages and very low birth weight babies per year due to the disease. (Microbiology notes) [2]

Malaria is a protozoal disease transmitted by the Anopheles mosquito. (World Book Encyclopedia, 1976) [3]

Malaria is caused by a proctoctist known as Plasmodium, which is transmitted by female Anopheles. When a female mosquito stings a human to take a blood meal, either of the following events may occur:

1. In case of an infected person, the mosquito obtains both male and female gametes of Plasmodium along the blood it sucks up. Then, the gametes fuse in the mosquito’s stomach, forming thousands of immature malarial parasites which invade the mosquito’s salivary glands.

2. The other event that could occur is that an already infected mosquito with immature malarial parasites, injects them into a healthy person. The immature malarial parasites then undergo maturation in the person's liver. (wiki books) [4]

There are 4 different types of the parasite which effect humans, these include; Plasmodium Falciparum, P. Malariae, P. Vivax, and P. Ovale. While the last 3 have harmful effects, (eg. residing in the liver for many years, and returning in some cases), Plasmodium Falciparum, is by far the most deadly of Malaria species. (Encyclopaedia of Family Health, 1998) [5] I used this source because I think it’s reliable especially because it is not web based which prevents people adding information themselves.

A possible solution – indoor residual spraying (IRS)

Indoor residual spraying (IRS) is the application of long acting chemical insecticides on the walls and roofs of all houses and domestic animal shelters in a given area, to kill the adult vector mosquitoes that land and rest on these surfaces. The primary reasons to use IRS is to restrict malaria transmission by; reducing the lifespan of vector mosquitoes so that they can no longer transmit malaria parasites from one person to another, furthermore reduce the density of the vector mosquitoes. (World health organizations, 2006) [6] I think this source is reliable because the website has all the information about every single disease with solutions too. It is not biased because the website has information on everything about malaria and does not focus on just one aspect of malaria which increases its reliability.

One of the compounds used for IRS is dichlorodiphenyltrichloroethane, (DDT) which is an organochlorine compound, which was first synthesised in 1874. In 1935, it was discovered to be a highly effective insecticide and was used with great success in the second half of  to control . After the war, DDT was used as an agricultural insecticide and now is one of 12 WHO–approved IRS insecticides.

Malaria transmission happens when the female mosquitoes enter the house in the evening, resting indoors and some point at night, bite the human. This is where DDT plays its role in order to prevent the mosquitoes from attacking its victim to spread the disease. Because the DDT spray is irritant, toxic and repellant, when it is sprayed on the walls of the house, it will prevent mosquitoes from entering the house. If the mosquito does enter the house and sits on the wall where the insecticide has been sprayed, then the contact irritant may happen which may cause them to exit. If the contact irritant also fails then contact toxicity might still result in the death of the mosquito.

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DDT disrupts the working of a cell and affects the plasma membrane of the cell, which in this case are the mosquitoes. The job of the plasma membrane is to separate the inside of the cell from the outside and to allow substances to enter and leave the cell, and is made of lipids (fats). DDT is fat soluble so it dissolves into the plasma membrane resulting in the opening of the membrane causing the cell to leak. Potassium and sodium ions slip through the membrane. Potassium and sodium ions help determine when the cell to fire its signals in ...

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