This blog post was written by Roperfree.

The Uganda Malaria Indicator Survey of 2014/15 indicates the country’s malaria prevalence has dropped from 42 per cent in 2009 to 19 per cent in children of 0-59 months. The Ministry of Health attributes the sharp fall to government interventions, including scaling up of treatment services, distribution of insecticide-treated mosquito nets, and, like Kenya and Tanzania, indoor residual spraying in some households. However a lot has to be done because it is still number one killer disease in the country and fighting malaria alone is not enough if the population is not sensitized about hygiene and to keep water trenches clean without dumping garbage which blocks the drainage and causing the water to be stagnant becoming the breeding ground of mosquitoes.

Uganda has to done well with decentralizing system of power with the Local Council chairmen those are the leaders of the local community who should be empowered to fine people who are dumping garbage anywhere, and make sure that designated places are set up for people to dumb in their garbage

According to Uganda’s ministry of Health Kampala City has the lowest prevalence rate of one percent compared to other regions and further to that according to Dr Jimmy Opigo a social media friend-focusing in the same areas of eradicating malaria, and the NMCP manager at the Ministry of Health, said on NBS Television while being interviewed early this year in Month February 2017 that infection rates can further be prevented by stricter vector control, chemoprevention (providing drugs that suppress infection) or, potentially, by vaccination”.

Currently, 90 per cent of the households in Uganda own at least one mosquito net, compared with 47 per cent in 2009.

The percentage of children who slept under an insecticide-treated net before the night of the survey increased from 33 to 74 per cent, while for pregnant women it increased from 44 to 75 per cent.

However, over the years, there has been increasing resistance to insecticides, especially pyrethroids, across the East African region.

The Uganda programme is therefore piloting the use of nets with an added compound, called Piperonyl Butoxide, to help address this challenge but the disadvantage according the people who are given mosquito nets added chemicals (Piperonyl Butoxide )some claim allergies and suffocation which is causing a negative impact to the end user.

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On the other hand, we should not forget that Piperonyl Butoxide has side effects and the common ones are:

Mild itching, burning or stinging
Mild skin rash
Numbness or tingly feeling

According to the above mentioned side effective and research gathered indicates that’s some people have developed fears of using the mosquito nets and some who have used them, experienced certain side effects and shunned them along the line. In consideration to the above situations, Roperfree is intesfying it malaria campaign with the Roperfree mosquito repellent which could be an alternative to chemically treated mosquito nets and you can order right now on www.fightmalaria.co.uk/roperfree

On the other hand, the misuse of government distributed mosquito nets, quaky doctors and medical care givers, fake and expired drugs plus lack of proper information about malaria still hinders the government goals of eradicating or reducing malaria from top position of a killer disease.

However, implementation of evidence-based targeted interventions has scaled down the overall prevalence rate to eight per cent, down from 11 per cent in 2010.

Indoor residual spraying of households, which targeted 1.2 million families between 2007 and 2010, suffered a setback in 2009 due to the downward adjustment of Global Fund allocations, reaching only 35 per cent of targeted households.

Future efforts to fight malaria hold bright prospects for the country, as Kenya is among three African countries chosen in April by the World Health Organization to test the world’s first malaria vaccine. Ghana, Kenya and Malawi will begin piloting the injectable vaccine next year among young children, who have been at highest risk of death. Whereas still no vaccine has been found yet despite the pilot project of vaccine trials which are being carried out in the East Africa.

History of malaria in Africa since 1900

1900-1945: The dark days: After years of ravaging the continent, one of the biggest historical drops in malaria followed the Second World War in the 1940s with the discovery of Dichlorodiphenyltrichloroethane (DDT) and chloroquine.

1960-1980: Era of chloroquine: Malaria prevalence was low during the late 1960s, through the 1970s and early 1980s. This was a period when, despite low investment in malaria control in Africa, chloroquine use was widespread with repeated dosing available to the general population. Together with drought across the Sahel, this produced a lull in malaria transmission.

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1980-1990: Rainfall raises risk: Chloroquine resistance expanded across Africa in the 1980s, and in the late 1990s unprecedented rainfall led to flooding and major malaria epidemics. Ministries of Health across the continent woke up to the perfect storm without any significant mosquito vector control in place. Malaria prevalence returned to the levels seen before the Second World War.

1990-2015: Enter the bed net: The financial response by the Global Fund and the technical revisions to policy by the World Health Organization after 2005 led to one of the largest drops in malaria infection prevalence witnessed since 1900. This saw the rolling out of insecticide treated bed nets and new drugs to treat malaria. Between 2010 and 2015 the decline in malaria prevalence has stalled.

Zanzibar success story:

Can any East African nation ever be malaria-free? Yes, it is possible, and to see why you need not look further than Zanzibar, where prevalence rates have been kept at below one per cent since 2013. The island’s Malaria Elimination Plan aims at consolidating malaria control achievements toward pre-elimination by the year 2018 through multiple interventions, including raising awareness, use of treated mosquito nets, proper diagnosis, and residual spray. Through its malaria elimination programme dubbed Zamep, Zanzibar has been struggling to meet its goal of zero locally acquired malaria cases on the island by the end of this year.

In summary, the battle of malaria is still and we have long way to go because no vaccine has be found yet and malaria kills more people in sub Saharan Africa than any other diseases. Many organizations have joined hands together to fight malaria and there are so many but to mention a few or one; Fight Malaria which is based in UK but entered the battle for the good cause of eradication malaria and they have lots of information about for anyone who wants to travel in malaria countries, this could be one stop to check out: www.fightmalaria.co.uk

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