MALARIA: AN ECONOMIC ,HEALTH BURDEN TO COUNTRIES LIKE NIGERIA AND ITS CONTROL

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Malaria, known as tropical disease has been known as one  of the greatest  killers in Africa and other tropical countries. Malaria is a life-threatening disease caused by parasites that are transmitted to people through the bites of infected female Anopheles mosquitoes. It is preventable and curable. Most times this disease is treated with levity and kid gloves, malaria has destroyed lives and human capacity. This destruction (in)directly affects the economy of the locale that it is prevalent, example Nigeria. With various medications aimed at treating this scourge, locales have tried using herbs such as quinine and other things to treat such, but as they have tried, the plasmodium, which is the parasite that causes malaria has been resistant to malaria over the years  making the disease a nightmare for scientist and governments in the countries that  the disease is rampant. But, with the advancement in the medical world, drugs like  Coatal Forte Soft Gel and others have shown promise in the eradication of this scourge.Image

Not only a health issue, malaria has been described by experts as an economic issue. Malaria has been known to have affected the gross domestic product (GDP) of many economies in the tropic through loss of man hours or amount used in taking care of  the citizenry and this runs in the billions of Naira , as it pertains Nigeria. In 2017, there were an estimated 219 million cases of malaria in 87 countries. The estimated number of malaria deaths stood at 435 000 in 2017. Most countries, especially in the African sub Saharan  Region carry a disproportionately high share of the global malaria burden. In 2017, the region was home to 92% of malaria cases and 93% of malaria deaths. Total funding for malaria control and elimination reached an estimated US$ 3.1 billion in 2017. Contributions from the governments of endemic countries amounted to US$ 900 million, representing 28% of total funding.Image

The malaria parasites are spread to people through the bites of infected female Anopheles mosquitoes, called “malaria vectors.” There are 5 parasite species that cause malaria in humans, and 2 of these species – P. falciparum and P. vivax – pose the greatest threat. Posing as a high risk for many countries. Malaria is a risk for  about 97% of Nigeria’s population.There are an estimated 100 million malaria cases with over 300,000 deaths per year in Nigeria,contributing  to an estimated 11% of maternal mortality! Though Malaria is a preventable, treatable disease, but it has a devastating effect in African countries, Nigeria more especially.Image

Treatment of malaria has evolved over the years from the use of quinine,  which can be gotten from herbs to the use of chloroquine, this has serious side effects such as itching and tolerance. Today, Artemisinin-based combination therapies remain effective in almost all settings, as long as the partner drug in the combination is locally effective. This is one of the key factors that Coatal Forte Soft Gel has demonstrated as an effective treatment of  malaria.  Also, Camasulin Amartem and a host of others can also be used to prevent malaria. For travellers, malaria can be prevented through chemoprophylaxis, which suppresses the blood stage of malaria infections, thereby preventing malaria disease.

Since 2012, WHO has recommended seasonal malaria chemoprevention as an additional malaria prevention strategy for areas of the Sahel sub-region of Africa. The strategy involves the administration of monthly courses of amodiaquine plus sulfadoxine-pyrimethamine to all children under 5 years of age during the high transmission season.

Some  progress has been made  in malaria control from  access to vector control interventions, particularly in sub-Saharan Africa.However, these gains are threatened by emerging resistance to insecticides among Anopheles mosquitoes. With over 68 countries reported mosquito resistance to at least 1 of the 5 commonly-used insecticide while 57 reported resistance to 2 or more insecticide classes.

Early diagnosis and treatment of malaria reduces disease and prevents deaths. It also contributes to reducing malaria transmission. The best available treatment, particularly for P. falciparum malaria, is artemisinin-based combination therapy (ACT) such as Coatal Forte Soft Gel . Treatment, solely on the basis of symptoms should only be considered when a parasitological diagnosis is not possible.

 

 

ANTHONY EMEKA NWOSU

 

 

The estimated number of malaria deaths stood at 435 000 in 2017. Most countries, especially in the African sub Saharan  Region carry a disproportionately high share of the global malaria burden. In 2017, the region was home to 92% of malaria cases and 93% of malaria deaths.

 

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