Every year, malaria kills around 660,000 people and infects more than 200 million. Ninety percent of these deaths occur in sub-Saharan Africa.
According to the World Health Organisation, 198 million cases of malaria were reported in 2013, with 584,000 people dying from the mosquito-transmitted parasite.
Malaria is most common in poor, deprived areas. In many cases, malaria itself is the cause of such poverty: malaria causes havoc on a socio-economic level as patients are often bedridden and incapable of carrying out normal daily tasks, resulting in burdens on households and health services, and ultimately huge losses to income in malaria-endemic countries.
This suffering and loss of life are tragically unnecessary because malaria is largely preventable, detectable and treatable.
What causes malaria?
- Ninety per cent of malaria deaths occur in children living in sub-Saharan Africa
- Malaria is most common in poor areas and is itself a cause of poverty
- It is a parasitic infection transmitted by female mosquitoes
- Artemisinin-based combination therapy is the most effective treatment
- A course of anti-malarial pills for a baby can cost as little as 32 cents
Malaria is a parasitic infection transmitted from person to person by the bite of infected female Anopheles mosquitoes.
These mosquitoes usually bite from around dusk to dawn.
Once transferred to the human body, the infection travels to the liver where it multiplies and then enters the red blood cells.
Inside the red blood cells the parasites multiply rapidly until they burst, releasing even more parasites into the blood stream.
There are four main species of the malaria parasite: Plasmodium falciparum, Plasmodium malariae, Plasmodium vivax and Plasmodium ovale.
P. falciparum is the main cause of severe clinical malaria and death.
Symptoms of malaria
Malaria begins as a flu-like illness, with symptoms first occurring 9-14 days after infection. Symptoms include fever (typical cycles of fever, shaking chills, and drenching sweats may develop), joint pain, headaches, frequent vomiting, convulsions and coma.
If simple malaria is left untreated, it can become severe – around eight million malaria cases progress to severe malaria annually. Death from malaria may be due to brain damage (cerebral malaria), or damage to vital organs. The reduction of red blood cells can cause anaemia.
Diagnosing malaria is done with rapid dipstick tests or looking for the parasite under a microscope in a blood smear. However, rapid tests are not always available, microscopy is not always straightforward and, as a result, diagnosis based on symptoms is still normal in much of the developing world.
This means patients are often misdiagnosed and the real reasons for their symptoms go untreated. It also means anti-malarial drugs are overused and go to waste when they are desperately needed.
MSF field research has helped prove that artemisinin-based combination therapy (ACT) is the most effective treatment for malaria caused by Plasmodium falciparum. ACTs have low toxicity, few side effects and act rapidly against the parasite.
In 2010, World Health Organization guidelines were altered to recommend the use of artesunate over artemether for the treatment of severe malaria in children.
Today, 41 out of 54 African countries have officially changed their protocol to treat first-line malaria with ACTs. But in many places where MSF works, ACTs are scarcely available. The global need for ACTs is estimated to be at 300 to 500 million treatment courses per year, however, in 2006, drugs for less than 90 million treatments were purchased.
A three-day course of anti-malarial pills for a baby can cost as little as 32 cents.
Long lasting insecticide-treated bed nets are an important means of controlling malaria. In endemic areas, MSF distributes nets to pregnant women and children under the age of five, who are most vulnerable to severe malaria and staff advise people on how to use the nets.
In 2012, MSF used a seasonal chemoprevention strategy for the first time, in Chad and Mali. Children up to five years old took oral antimalarial treatment monthly over a period or three to four months during the peak season for the disease.
MSF treated 2,229,200 people for malaria in 2015.
Hover over the image below for an interactive guide to malaria
- Access to essential medicineApply Access to essential medicine filter (53)
- Access to healthcareApply Access to healthcare filter (49)
- Child healthApply Child health filter (59)
- Health policyApply Health policy filter (3)
- Maternal healthApply Maternal health filter (18)
- Mental healthApply Mental health filter (11)
- MigrantApply Migrant filter (80)
- Mobile clinicApply Mobile clinic filter (33)
- Neglected diseasesApply Neglected diseases filter (13)
- Reconstructive surgeryApply Reconstructive surgery filter (1)
- Refugees and IDPsApply Refugees and IDPs filter (80)
- Sexual violenceApply Sexual violence filter (9)
- VaccinationApply Vaccination filter (38)
- Water and sanitationApply Water and sanitation filter (27)
- Buruli ulcerApply Buruli ulcer filter (1)
- Chagas diseaseApply Chagas disease filter (1)
- Dengue feverApply Dengue fever filter (4)
- EbolaApply Ebola filter (10)
- Hepatitis BApply Hepatitis B filter (1)
- HIV / AIDSApply HIV / AIDS filter (53)
- Infectious diseasesApply Infectious diseases filter (79)
- Kala azar (visceral leishmaniasis)Apply Kala azar (visceral leishmaniasis) filter (10)
- LeishmaniasisApply Leishmaniasis filter (10)
- MalariaApply Malaria filter (291)
- MalnutritionApply Malnutrition filter (49)
- MeaslesApply Measles filter (29)
- Multidrug-resistant tuberculosis (MDR-TB)Apply Multidrug-resistant tuberculosis (MDR-TB) filter (1)
- Parasitic diseasesApply Parasitic diseases filter (291)
- PolioApply Polio filter (2)
- Sleeping sickness (human African trypanosomiasis)Apply Sleeping sickness (human African trypanosomiasis) filter (7)
- TuberculosisApply Tuberculosis filter (45)
- 2016Apply 2016 filter (49)
- 2015Apply 2015 filter (56)
- 2014Apply 2014 filter (43)
- 2013Apply 2013 filter (25)
- 2012Apply 2012 filter (15)
- 2011Apply 2011 filter (11)
- 2010Apply 2010 filter (6)
- 2009Apply 2009 filter (2)
- 2008Apply 2008 filter (5)
- 2007Apply 2007 filter (5)
- 2006Apply 2006 filter (3)
- 2005Apply 2005 filter (14)
- 2004Apply 2004 filter (38)
- 2003Apply 2003 filter (12)
- 2002Apply 2002 filter (3)
- 2001Apply 2001 filter (1)
- 2000Apply 2000 filter (1)
- 1999Apply 1999 filter (1)
- 1998Apply 1998 filter (1)