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Malaria In Madagascar
Despite recent progress, malaria in Madagascar remains a major health problem, and severe malaria is among the top five causes of reported overall mortality. Malaria epidemiology varies considerably in different regions of Madagascar; however, the entire population is considered to be at risk for the disease. The majority of cases are caused by the parasite ''Plasmodium falciparum''. In 2017, the 2018–2022 Malaria National Strategic Plan was drafted, stratifying the country into malaria epidemiologic clusters based on the intensity of malaria transmission. Malaria control and elimination interventions will be defined based on each epidemiologic cluster. From 2003 to 2013, there were clear impacts observed from malaria control program investments, including decreases in malaria cases and deaths reported through the national Health Management Information System. This trend continued as 2016 MIS data showed a decrease in malaria diagnosed by rapid diagnostic test from 10 percent in ...
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Madagascar
Madagascar (; mg, Madagasikara, ), officially the Republic of Madagascar ( mg, Repoblikan'i Madagasikara, links=no, ; french: République de Madagascar), is an island country in the Indian Ocean, approximately off the coast of East Africa across the Mozambique Channel. At Madagascar is the world's List of island countries, second-largest island country, after Indonesia. The nation is home to around 30 million inhabitants and consists of the island of Geography of Madagascar, Madagascar (the List of islands by area, fourth-largest island in the world), along with numerous smaller peripheral islands. Following the prehistoric breakup of the supercontinent Gondwana, Madagascar split from the Indian subcontinent around 90 million years ago, allowing native plants and animals to evolve in relative isolation. Consequently, Madagascar is a biodiversity hotspot; over 90% of wildlife of Madagascar, its wildlife is endemic. Human settlement of Madagascar occurred during or befo ...
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Malaria
Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. Symptoms usually begin ten to fifteen days after being bitten by an infected mosquito. If not properly treated, people may have recurrences of the disease months later. In those who have recently survived an infection, reinfection usually causes milder symptoms. This partial resistance disappears over months to years if the person has no continuing exposure to malaria. Malaria is caused by single-celled microorganisms of the ''Plasmodium'' group. It is spread exclusively through bites of infected ''Anopheles'' mosquitoes. The mosquito bite introduces the parasites from the mosquito's saliva into a person's blood. The parasites travel to the liver where they mature and reproduce. Five species of ''Plasmodium'' can infect and be spread by h ...
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President's Malaria Initiative
The President's Malaria Initiative (PMI) is a U.S. Government initiative to control and eliminate malaria, one of the leading global causes of premature death and disability. The initiative was originally launched by U.S. president George W. Bush in 2005, and has been continued by each successive U.S. president. PMI was originally created with a mission to "reduce malaria-related mortality by 50 percent across 15 high-burden countries in sub-Saharan Africa". PMI has since expanded to 24 malaria-endemic countries in sub-Saharan Africa and 3 additional countries in the Greater Mekong Subregion of Southeast Asia, where it seeks to further reduce malaria burden and assist countries in achieving malaria elimination. PMI works closely with national malaria programs and global partners including the World Health Organization, Roll Back Malaria, and Global Fund. Global malaria efforts, including those of PMI, have cut malaria mortality by over 60%, saved nearly 7 million lives, and preve ...
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Epidemiology
Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decisions and evidence-based practice by identifying risk factors for disease and targets for preventive healthcare. Epidemiologists help with study design, collection, and statistical analysis of data, amend interpretation and dissemination of results (including peer review and occasional systematic review). Epidemiology has helped develop methodology used in clinical research, public health studies, and, to a lesser extent, basic research in the biological sciences. Major areas of epidemiological study include disease causation, transmission, outbreak investigation, disease surveillance, environmental epidemiology, forensic epidemiology, occupational epidemiology, screening, biomonitoring, and comparisons of treatment effects such as in clinical trials. ...
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Plasmodium Falciparum
''Plasmodium falciparum'' is a Unicellular organism, unicellular protozoan parasite of humans, and the deadliest species of ''Plasmodium'' that causes malaria in humans. The parasite is transmitted through the bite of a female ''Anopheles'' mosquito and causes the disease's most dangerous form, falciparum malaria. It is responsible for around 50% of all malaria cases. ''P. falciparum'' is therefore regarded as the deadliest parasite in humans. It is also associated with the development of blood cancer (Burkitt's lymphoma) and is classified as a List of IARC Group 2A carcinogens, Group 2A (probable) carcinogen. The species originated from the malarial parasite ''Laverania'' found in gorillas, around 10,000 years ago. Alphonse Laveran was the first to identify the parasite in 1880, and named it ''Oscillaria malariae''. Ronald Ross discovered its transmission by mosquito in 1897. Giovanni Battista Grassi elucidated the complete transmission from a female Anopheles, anopheline mosquit ...
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Health Management Information System (Madagascar)
Health, according to the World Health Organization, is "a state of complete physical, Mental health, mental and social well-being and not merely the absence of disease and infirmity".World Health Organization. (2006)''Constitution of the World Health Organization''– ''Basic Documents'', Forty-fifth edition, Supplement, October 2006. A variety of definitions have been used for different purposes over time. Health can be promoted by encouraging healthful activities, such as regular physical exercise and adequate sleep, and by reducing or avoiding unhealthful activities or situations, such as smoking or excessive Stress (biology), stress. Some factors affecting health are due to Agency (sociology), individual choices, such as whether to engage in a high-risk behavior, while others are due to Social structure, structural causes, such as whether the society is arranged in a way that makes it easier or harder for people to get necessary healthcare services. Still, other factors are be ...
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Rapid Diagnostic Test
A rapid diagnostic test (RDT) is a medical diagnostic test that is quick and easy to perform. RDTs are suitable for preliminary or emergency medical screening and for use in medical facilities with limited resources. They also allow point-of-care testing in primary care for things that formerly only a laboratory test could measure. They provide same-day results within two hours, typically in approximately 20 minutes. The European Union defines that a rapid test means qualitative or semi-quantitative in vitro-diagnostic medical devices, used singly or in a small series, which involve non-automated procedures and have been designed to give a fast result.2009/886/ECCommission Decision of 27 November 2009 amending Decision 2002/364/EC on common technical specifications for in vitro diagnostic medical devices/ref> Lateral flow tests are probably the most known type of rapid diagnostic tests, similar to pregnancy tests, but there exist other systems as dipsticks, vertical flow, etc. Anyt ...
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Health In Madagascar
Hospitals and small medical centers and posts are found throughout the island of Madagascar, although they are concentrated in urban areas and particularly in Antananarivo. In addition to the high expense of medical care relative to the average Malagasy income, the prevalence of trained medical professionals remains extremely low. The Human Rights Measurement Initiative finds that Madagascar is fulfilling 90.8% of what it should be fulfilling for the right to health based on its level of income. When looking at the right to health with respect to children, Madagascar achieves 99.0% of what is expected based on its current income. In regards to the right to health amongst the adult population, the country achieves 96.8% of what is expected based on the nation's level of income. Madagascar falls into the "bad" category when evaluating the right to reproductive health because the nation is fulfilling only 76.6% of what the nation is expected to achieve based on the resources (income) i ...
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