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Malaria control Factors that contribute to spreading of the disease Human Humans – migration of people can lead to the spread of malaria between regions. Stagnant water wells are a breeding ground for mosquitoes which spread malaria Irrigation channels – An increase in the number of irrigation projects has increased the risk of malaria as it provides even more breeding grounds for mosquitoes. Water barrels – Provide breeding ground for mosquitoes. Padi-fields - These are areas of stagnant water ideal for mosquitoes to breed in. they are also where people grow rice which is sold to make their living. Many people work in this area, therefore have increased contact with mosquitoes. Environmental Climate – warm climates with temperatures over 15C provides suitable breeding ground for anopheles mosquito. Mosquitoes like shaded areas as it is ideal for digesting human blood. Strategies to control malaria There are a number of ways in which to control malaria. Insecticides In Southern Africa most people are infected between January and april and many people are infected while sleeping in their houses. Therefore residual house spraying has been introduced. Houses are sprayed before the season of greatest infection so that mosquitoes will get a does of insecticide when they land on ceilings or walls. This prevents malaria from being spread. Anti-malarial drugs If people become infected with malaria then treatment with anti-malarial drugs will stop infection within that person and also reduce the risk of that person infecting a mosquito and contributing to the cycle of infection. Reducing breeding sites If mosquitoes have fewer numbers of breeding grounds then there will be less mosquitoes to spread the disease. Breeding grounds can be reduced using the following methods: Draining areas that could be used for breeding grounds. It is also possible to plant eucalyptus plants, which soak up excess moisture from the ground. Killing larvae If you kill mosquito larvae then you reduce the amount of mosquitoes available to spread the disease. Larvae can be killed in the following ways: Small fish introduced in to padi-fields to eat larvae Mustard seeds in padi-fields drag the larvae below the surface and they drown. Egg whites can be sprayed on stagnant surfaces to suffocate the larvae. Flushing streams by damning and then releasing the water, and drowning larvae. Education Campaigns to educate people about the disease and how to prevent it, increase local awareness of the disease and shows people how to minimise risk. Problems with controlling malaria Insecticide resistance insecticides. - mosquitoes have become resistant to certain Drug resistance - certain strains of malaria have developed resistance to drugs. Other drugs are being developed. The use of combination therapy (more than one type of drug) is thought to reduce the risk of immunity if used correctly. Chinese researchers extracted a fast-acting, anti-malaria agent named artemisinin from a traditional Chinese herb in the 1970s. Tablets based on this compound have been produced. Migration – Movement of people to different regions has led to re -infection in to areas cleared of malaria. Irrigation schemes – These are important to increasing agricultural output so more have been built, however this conflicts with reducing malaria. Many people still suffer from malaria and the world health organisation has now accepted that malaria will not be eradicated but aims to reduce the disease. Impact of malaria on a region Malaria can create a huge economic burden for a country. This is due to the number of hospital admissions and the cost of national malaria control programmes. Malaria can also have economic implications for individuals due to the cost of anti-malarial drugs, treatment and loss of wages due to illness. Many malaria suffers cannot afford and have no access to medical treatment. Malaria can also limit foreign investment and tourism, which will have a serious economic impact on the country’s development. Malaria infection is highest during the rainy harvest season, when the workers are needed; this can impact upon agricultural production. Questions Answer the following questions in sentences. 1) 2) 3) 4) 5) What are the main human causes for spreading malaria? What are the main environmental causes for spreading malaria? How can insecticides control spread of malaria? What is the problem with malaria? Anti malarial drugs stop the spread of malaria what is the problem with them? 6) Why does reducing breeding sites reduce malaria? 7) In what ways can we reduce the breeding sites? 8) How do we kill mosquito larvae? 9) Why is education important in reducing malaria? 10) What problems are there in reducing malaria? 11) Why might reducing malaria be good for a country?