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Now you can download Treatment Guideline

Hand book for Entomology now available in ‘Download’,

‘Monitoring and Evaluation Plan 2010 – 2014’ now available at ‘Download’ Zone

The next Review Meeting will be held on 22nd and 23rd of December at AMC Headquaters

The latest reported malaria cases|Indigenous=0,Imported=48

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Malaria in humans is caused by one of five protozoan species of the genus Plasmodium: P. falciparum, P. vivax, P. ovale, P. malariae and more recently P. knowelsii. All species are transmitted by the bite of an infected female Anopheles mosquito.

Travel within Sri Lanka

P. falciparum, P. vivax are the two species identified in Sri Lanka. The sustained decline in reported incidence since 2001 and the recent launch of the elimination programme is evidence that there are no more endemic areas in Sri Lanka. Currently there are only focal cases reported in the country. Hence travelers to Sri Lanka and travelers within the country are not advised to take any malaria chemoprophylaxis.

Personal protection measures should be advised to reduce contact with mosquitoes particularly when travelling to the dry zone and wild life sanctuaries. These protective measures could be  

o   Using mosquito nets (preferably insecticide-treated nets)

o   Wearing clothes that cover most of the body, long sleeves when outdoors in the evenings and night time.

o   Use of  insect repellent on exposed skin.

o   Use Mosquito coils/vaporizers at night

Travel outside Sri Lanka

Malaria transmission occurs in large areas of Asia (including the Indian Subcontinent, Southeast Asia, and the Middle East), Africa, Central and South America, the island of Hispaniola (the Dominican Republic and Haiti), and the South Pacific.

Malaria transmission is generally higher in Africa than in other parts of the world, and that malaria is often transmitted in urban areas as well as rural areas in sub-Saharan Africa. In contrast, malaria transmission is generally lower in Asia and South America, a larger proportion of the malaria is P. vivax, and most urban areas do not have malaria transmission.

All travelers visiting countries where high level malaria transmission occurs are advised to contact the Anti Malaria Campaign Directorate or the nearest regional office for information on appropriate prophylactic medicine. These medicines are provided free of charge by the Campaign for a period of up to three months to travelers. In addition all travelers are advised to adopt protective measures to protect themselves from mosquito bites. Appropriate information can be obtained from the AMC Directorate.

Drugs commonly used for the prophylaxis of malaria

Chloroquine

Prophylaxis only in areas with chloroquine-sensitive P. falciparum.

300 mg base (500 mg salt) orally, once/week

5 mg/kg base (8.3 mg/kg salt) orally, once/week, up to maximum adult dose of 300 mg base.

Begin 1weeks before travel to malarious areas. Take weekly on the same day of the week while in the malarious area and for 4 weeks after leaving such areas.

Mefloquine

 Prophylaxis in areas with chloroquine-resistant P. falciparum.

228 mg base (250 mg salt) orally, once/week preferably after dinner

<9 kg: 4.6 mg/kg base (5 mg/kg salt) orally, once/week
10-19 kg: 1/4 tablet once/week
20-30 kg: 1/2 tablet once/week
31-45 kg: 3/4 tablet once/week
>45 kg 1 tablet once/week

1 tablet once/week begin 1weeks before travel to malarious areas. Take weekly on the same day of the week while in the malarious area and for 4 weeks after leaving such areas.

Contraindicated in:

Ø  Allergy to mefloquine or related compounds (e.g., quinine and quinidine)

Ø  active depression/ recent history of depression,

Ø  Generalized anxiety disorder, psychosis, schizophrenia, and other major psychiatric disorders.

Ø  Seizures.

Ø  Not recommended for persons with cardiac conduction abnormalities.

Travel during Pregnancy – Please contact the AMC Directorate

Important

If you develop fever after entering to malaria endemic area even if you are on malaria prophylactic drugs you should seek medical attention urgently and have your blood examined for malaria parasites.

If you develop fever within a six month period after returning to Sri Lanka /leaving that country, medical attention should be sought urgently and blood should be examined for malaria parasites. These services can be obtained free of charge from the AMC headquarters or the regional offices.