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close this bookGuidelines for the Treatment of Malaria (WHO; 2006; 266 pages) View the PDF document
View the documentGlossary
View the documentAbbreviations
open this folder and view contents1. Introduction
View the document2. The clinical disease
open this folder and view contents3. Treatment objectives
open this folder and view contents4. Diagnosis of malaria
open this folder and view contents5. Resistance to antimalarial medicines9
open this folder and view contents6. Antimalarial treatment policy
open this folder and view contents7. Treatment of uncomplicated P. Falciparum malaria10
open this folder and view contents8. Treatment of severe falciparum malaria14
open this folder and view contents9. Treatment of malaria caused by P. vivax, P. ovale or P. malariae19
View the document10. Mixed malaria infections
close this folder11. Complex emergencies and epidemics
View the document11.1 Diagnosis
View the document11.2 Use of rapid diagnostic tests in epidemic situations
View the document11.3 Management of uncomplicated malaria in epidemics
View the document11.4 Areas prone to mixed falciparum/vivax malaria epidemics
View the document11.5 Use of gametocytocidal drugs to reduce transmission
View the document11.6 Anti-relapse therapy in vivax malaria epidemics
View the document11.7 Mass treatment
open this folder and view contentsAnnexes

11. Complex emergencies and epidemics

When large numbers of people are displaced within malaria endemic areas there is an increased risk of a malaria epidemic, especially when people living in an area with little or no malaria transmission move to an endemic area (e.g. displacement from highland to lowland areas). The lack of protective immunity, concentration of population, breakdown in public health activities and difficulties in accessing insecticides, insecticide-treated nets and effective treatment, all conspire to fuel epidemic malaria, in which morbidity and mortality are often high. Such circumstances are also ideal for the development of resistance to antimalarials. For these reasons, particular efforts must be made to deliver effective antimalarial treatment to the population at risk.

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