Malaria

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This is talk by DR DINESH TOPRANI on Malaria.

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Malaria

  1. 1. MALARIA DR DINESH TOPRANI FAMILY PHYSICIAN COLABA MUMBAI
  2. 2. VECTOR BORNE DISEASE FEMALE ANOPHELES MOSQUITO GEOGRAPHICAL DISTRIBUTION-TROPICAL, SUB TROPICAL ,SOUTH AMERICA,ASIA, AFRICA- SUB SAHARA, INDIA
  3. 3. WORLDWIDE 500 MILLION CASES/YEAR 1 MILLION DEATHS/ YEAR
  4. 4. ENORMOUS PUBLIC HEALTH PROBLEM CAUSED BY PROTOZOAN PARASITE OF GENUS PLASMODIUM- P. FALCIPARUM P.VIVAX P. OVALE P.MALARIAE
  5. 5. MALARIA (BAD AIR) MEDIEVAL ITALIAN
  6. 6. NOBEL PRIZE 1902 RONALD ROSS 1907 CHARLES LOUISE ALPHONSE LAVERAN
  7. 7. LIFE CYCLE PARASITE CHANGES SEVERAL STAGES IN MOSQUITO INFECTED MOSQUITO BITES HEALTHY MAN PARASITES IN MAN’S BLOOD ENTERS LIVER AND MULTIPLIES PARASITES RE-ENTER BLOOD AND CREATE SYMPTOMS MOSQUITO BITES INFECTED MAN AND SUCKS BLOOD
  8. 8. RARE MODES OF TRANMISSION <ul><li>Blood transfusion </li></ul><ul><li>Organ transplant </li></ul><ul><li>Contaminated needles and syringes </li></ul><ul><li>Mother to unborn infant </li></ul><ul><li>It is not a contagious disease </li></ul>
  9. 9. SYMPTOMS <ul><ul><li>Fever Occasionally- </li></ul></ul><ul><ul><li>Shiver Jaundice </li></ul></ul><ul><ul><li>Vomiting Convulsions </li></ul></ul><ul><ul><li>Headache Coma </li></ul></ul><ul><ul><li>Bodyache </li></ul></ul><ul><ul><li>Weakness </li></ul></ul><ul><ul><li>Diarrhoea </li></ul></ul>
  10. 10. INCUBATION PERIOD <ul><li>7 DAYS TO 20 DAYS </li></ul>
  11. 11. <ul><li>P. vivax- Relapse </li></ul><ul><li>P. falciparum- Never Relapse </li></ul><ul><li>Recurrence possible in both </li></ul>
  12. 12. DIAGNOSIS <ul><li>Peripheral smear </li></ul><ul><li>Occasionally serology </li></ul>
  13. 13. PREVENTION <ul><li>Mosquito nets </li></ul><ul><li>Repellants </li></ul><ul><li>Insecticides </li></ul><ul><li>Long sleeve clothes </li></ul><ul><li>Close doors and windows in the evening </li></ul><ul><li>Don’t keep stagnant water (250 eggs of mosquito hatch in stagnant water) </li></ul>
  14. 14. TREATMENT <ul><li>DRUGS- </li></ul><ul><li>Chloroquine </li></ul><ul><li>Mefloquine </li></ul><ul><li>Artemether </li></ul><ul><li>Primaquine </li></ul><ul><li>Doxycycline </li></ul><ul><li>Vaccine- under research </li></ul>
  15. 15. SPECIAL CARE <ul><li>Malaria in infants and pregnancy </li></ul><ul><li>Breast feeding permitted </li></ul>
  16. 16. THANK YOU

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