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More than half a billion people are  infected with malaria each

Malaria Facts

Malaria Worldwide

Malaria Transmission Cycle
  • Forty-one percent of the world's population lives in areas where malaria is transmitted (e.g., parts of Africa, Asia, the Middle East, Central and South America, Hispaniola, and Oceania).
  • Each year 350–500 million cases of malaria occur worldwide, and over one million people die, most of them young children in sub-Saharan Africa.
  • In areas of Africa with high malaria transmission, an estimated 990,000 people died of malaria in 1995 – over 2700 deaths per day, or 2 deaths per minute.
  • In 2002, malaria was the fourth cause of death in children in developing countries, after perinatal conditions (conditions occurring around the time of birth), lower respiratory infections (pneumonias), and diarrheal diseases. Malaria caused 10.7% of all children's deaths in developing countries.
  • In Malawi in 2001, malaria accounted for 22% of all hospital admissions, 26% of all outpatient visits, and 28% of all hospital deaths. Not all people go to hospitals when sick or having a baby, and many die at home. Thus the true numbers of death and disease caused by malaria are likely much higher.

Biology, Pathology, Epidemiology

  • Residents of Asembo Bay (Western Kenya) were bitten 60-300 times a year by a malaria-carrying mosquito in the 1990s before control measures (including the use of insecticide-treated bed nets) were put in place.
  • Among the four malaria species that infect humans, Plasmodium vivax and P. ovale can develop dormant liver stages that can reactivate after symptomless intervals of up to 2 (P. vivax) to 4 years (P. ovale).
  • 84% of the blood transfusions given in March-June 2000 in a major hospital in Kinshasa (Democratic Republic of Congo) were for anemia caused by malaria.
  • Pregnant women have increased susceptibility to Plasmodium falciparum malaria; in malaria-endemic countries, P. falciparum contributes to 8-14% of low birth weight, which in turn decreases the chance of a baby’s survival
  • After a single sporozoite (the parasite form inoculated by the female mosquito) of Plasmodium falciparum invades a liver cell, the parasite grows in 6 days and produces 30,000-40,000 daughter cells (merozoites), which are released into the blood when the liver cell ruptures. In the blood, after a single merozoite invades a red blood cell, the parasite grows in 48 hours and produces 8-24 daughter cells, which are released into the blood when the red blood cell ruptures.

Prevention and Treatment

  • Four Nobel prizes have been awarded for work associated with malaria, to Sir Ronald Ross (1902), Charles Louis Alphonse Laveran (1907), Julius Wagner-Jauregg (1927) and Paul Hermann Muller (1948).
  • Two important currently used antimalarial drugs are derived from plants whose medicinal values had been noted for centuries: artemisinin from the Qinghao plant (Artemisia annua L, China, 4th century) and quinine from the cinchona tree (South America, 17th century).
  • Insecticide-treated bed nets decreased the mortality of children aged 1-11 months in a trial in western Kenya in 1997-1999.
  • A survey in Southeast Asia in 1999-2000 showed that of 104 shop-bought samples purportedly containing the antimalarial drug artesunate, 38% contained no artesunate.
  • The average cost for potentially life-saving treatments of malaria are estimated to be US$0.13 for chloroquine, US$0.14 for sulfadoxine-pyrimethamine, and US$2.68 for a 7-day course of quinine.