Bio-larvicides

QUESTION

Why is there no mention here of all the work being done on biolarvicides – the low cost solution for malaria control?

ANSWER

Actually, we had a question a while ago about the ECOWAS program in West Africa, which centers around the use of biolarvicides. A link to that question, and the answer, is provided here: http://www.malaria.com/questions/ecowas-malaria.

The most common form of biolarvicides are those using various microbes, notably Bacillus species, which target mosquito larvae but are harmless to other non-target organisms. A recent study in the Gambia showed very high success rates in killing Anopheles gambiae larvae, when a microbial larvicide using Bacillus thuringiensis varisraelensis strain AM65-52 was applied weekly. Some practitioners are concerned about the amount of effort and man-power a weekly application of larvicide might require, plus the training necessary for correct identification of habitat, but the study in the Gambia seemed to show good compliance once personnel were suitable trained. A link to the study, which is freely available via the Malaria Journal, is available here: http://www.malariajournal.com/content/6/1/76.

 

Headaches, Sweats, Nausea, Fatigue

QUESTION

Since visiting Gambia I have been off food, suffering from headaches, sweats, nausea, tiredness and diarrhea after every meal, when I can eat that is. Do you think I should go to the doctor for a test for malaria?

ANSWER

Yes—whenever you have symptoms that include fever and sweats after visiting an area of high malaria transmission, it is always worthwhile getting a malaria test. With a positive diagnosis, the doctor can find out what type of malaria you have and then give you the most appropriate treatment. If the test is negative, the doctor is then able to look for other possible causes of your symptoms, such as an intestinal parasitic infection or some other illness.