Monday, March 22, 2010

The Serious side of malaria

But seriously, malaria is nothing to laugh at. When the parasites get into your blood they attack the red blood cells. When the parasites reproduce they explode the red blood cells. This causes many of the symptoms: aching joints, headache, fatigue etc. The overall weakness and fatigue makes the desire to go and get treatment be replaced by the desire to sleep and rest. This gives malaria the opportunity to get the upper hand on the system. The fever comes as the body battles against the increase in parasites. So you get this cycle of fever spikes which get closer together as more and more parasites breed and the body gets too weak to fight.

Malaria takes it greatest toll on kids. They are fine, running around and playing and then in a matter of a couple of hours they are on death’s door. They lie down to nap or go to sleep at night and then they are too sick to get up. If you live in the village where there is no transport how do you get a sick 2-5 year old someplace for treatment. Most villagers can’t afford the frontline medicines that I get to take. So they give their child chloroquine or fansidar which are now less then 20% and 40 % effective. And the child worsens until it has to go to a hospital or clinic for intravenous treatment with quinine.

It is malaria’s ability to resist drugs that makes this disease the number one killer in Sub-Saharan Africa. Parents can’t afford the proper medicine let alone a blood test to confirm that it is malaria so at any sign of fever the malaria medicine that is cheapest or most easily available is given, usually in less than full dosage and that builds the drug resistance in the parasites. The government here tries it’s best to keep effective medicines in stock but it takes so much of its funding that it can’t possibly keep up.

Malaria also mimics many others diseases and often gets ignored as a cold or flu until it gets too advanced to treat and cure easily. That is why many doctors take the position treat for malaria first then, if there is no response, treat for another disease. This also leads to drug resistant strains of malaria.

It is estimated that 95% of malaria can be prevented by sleeping under a mosquito net. But getting nets out to the rural people is not easy. When the government can give away nets many sell the nets to get income for other needs.

It all needs God’s intervention. He is where our hope lies. He is the healer and divine planner. Pray for the kids of Africa. Pray that God’s mighty hand of protection will cause malaria to end. Pray for medicines that are effective and cheap. Pray for a vaccine. Pray for good officials to distribute what God provides. Our hope is in Jesus. He is the answer to all our prayers.

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