Health
Prophylactics halve malaria infections in African school children, major studies found
“Using schools as a platform to provide preventative treatment increases the feasibility of this intervention,” said a faculty member of the University of Maryland School of Medicine’s Malaria Research Program and the first author of the report. One Dr. Lauren Cohee said.
“Preventive treatment of malaria can be added to existing school-based health programs, including nutrition and anthelmintic, to further promote learners’ overall health.”
Professor Chico added that it is important to focus on reducing infections in school-age children, as “epidemiological changes” mean that the proportion of infections is included in this group.
“Historically, the burden of illness was primarily on children between the ages of 0 and 5, so the effort was first focused, not just on pregnant women,” he said. “But we are seeing a shift in the burden on older school-aged children, as the intervention was not previously targeted at them.”
He added that the lack of semi-acquired immunity may also contribute to this trend, as children are less exposed to malaria at an early age. “Therefore, if they become infected, the infection is likely to require treatment,” he said.
Currently, the World Health Organization recommends providing intermittent preventive treatment to pregnant women, infants, and toddlers in some malaria endemic areas, but does not issue recommendations for school-age children. Professor Chico is convinced that this may change soon.
“There is evidence to suggest that school-age children are a major driver of continued infection and are currently an important barrier to achieving malaria eradication,” he said. “I am optimistic that WHO will take into account our findings.
“We are far away and have halved malaria mortality over the last 15 years,” he added. “But in the face of the development of a deadlock to cut mortality in half again, it means you have to do more-in itself, lowland fruits are already chosen. ”
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