A major public health issue!
It is noted that paludism is much more frequent in particular in the pregnant woman as from the third month of the pregnancy and after childbirth: it is major public health problems in the tropical and subtropical areas: zones II and III, according to the statistics of WHO
The pregnant woman is particularly vulnerable: the pregnancy weakens its immunity and makes it more sensitive to the paludic infection, increases the disease risk, of severe anaemia and death.
For the child to be born, maternal paludism increases the risk of miscarriage, still birth, premature birth and small weight of birth: one of principal causes mortality in the child.
Strategy of prevention and treatment in Africa by WHO.
Impregnated insecticide
Preventive medication mosquito nets
Fast assumption of responsibility of the paludous access
Prevention and treatment at the time of a travel in endemic zone
The therapeutic and preventive treatment must be prescribed by a doctor.
It is dangerous to leave in intense zone of transmission paludism without regular catch a preventive medication, in particular for the children and the pregnant women who have a serious increasing risk of access.
The doctor account of the visited zones (risks, existence or not of resistance), of the duration of the systranLinks,travel and also of the person: the age, antecedents pathological, an intolerance with antipaludic, a possible medicamentous interaction, a pregnancy.
But the drugs antipaludic do not guarantee an absolute protection against the infection and it is also important to be protected from the punctures of mosquitos: mosquito nets, products anti mosquitos.
No preventive means ensures him only a total protection and, even if an adapted treatment were well taken, it is possible to make a crisis of paludism, sometimes of late appearance. The primary symptoms are often little alarming but paludism can be mortal if its treatment is delayed
In the event of even light fever, nauseas, headaches, aches or of tiredness during the stay or in the months which follow the return, a doctor must be consulted in urgency
The catch of a sample of blood is necessary to confirm the diagnosis
Any fever with the return of the tropics must be regarded a priori as a paludism until proof of the opposite.