Malaria

By Sadam Abubakar

I wish I could blow life into words. I wish the words could be woven to assume a shape and posture palpable to human beings.

My recent experience in bed with sickness made me long for words to have the ability to breathe, talk, and describe by themselves certain events that occurred to us in our lives. Some events and situations in our lives are beyond our ability to describe. The words should talk themselves.

The event that sparks my scribbling hand is a disease condition that turned me almost lifeless. It started as something not uncommon but metamorphosed into a thing of mystery and convolutions.

At a particular time of one day, my legs began to appear as if they didn’t belong to me. There was a slight headache and some traces of loss of appetite. These symptoms are common among people with malaria, an endemic disease in our region, especially this time of year. The next thing was the thought of taking P-Alaxin, a particular brand of antimalarial drugs, and some supporting drugs.

Two days later, my disease condition appeared to be getting worse, even though it didn’t cripple me in bed. I rushed to a particular medical lab for diagnosis, and after a rapid test for malaria, it appeared that the malarial parasite was still in my blood, running through my veins. The P-Alaxin drug didn’t kill the parasite in my blood? Maybe I needed to take more for a couple of days. I continued with the medication with P-Alaxin the next day, but to my surprise, the malarial parasite was still in me—perhaps even more active, since the disease succeeded in stagnating me at home for the whole day.

Combining therapeutics to treat a particular disease is arguably one of the best strategies to eliminate a disease that appears intractable. Thus, I received an intramuscular injection of chloroquine, continued with the P-Alaxin, and some supporting drugs. That day was the beginning of more suffering from the disease. I sustained a severe headache, and my body temperature kept alternating between high and low. I also occasionally shivered, and fatigue became my friend. I kept telling myself that today I would beat the malarial parasite in me, considering the combinatorial therapy. Was I right?

After a brief respite from the pain, I felt I could go out to the Masjid to pray Asr. I whispered to myself, no matter what, go and pray—who knows if it would be your last Asr to offer. I crawled to the bathroom, performed my wudu, and headed to the Masjid. I was walking while holding my head, as I could still feel the hammering of the disease in my head. I thought I could surmount that pain, and I kept going. Halfway to the mosque, the pain intensified, and I succumbed to the idea that I could only proceed to the mosque.

I managed to return home. But then another episode of the disease set in. My neck started bending, and my head followed. At some point, I had to ask my wife to straighten my neck to mitigate my pain. Meanwhile, I could feel my teeth gnawing at themselves, and some were abrading. I continued shivering while my wife still tried to cover me with a blanket. The situation escalated. The guy running the best medical lab in our town came. One of the best community health practitioners in our town, who is also my good friend, was summoned. They did what they could and assured things would be alright.

It seemed like they were right, given the temporary relief I had, but then things escalated around Isha prayer time. My mum came and prayed to me profusely. Almost all my family members came and offered their prayers for a speedy recovery, but things appeared to stand still. No progress in my health whatsoever! Finally, they all admitted I should be rushed to Ahmadu Bello University Teaching Hospital (ABUTH).

I already succumbed and felt I was going to die. My beloved brother, Alhaji Garba, shouted that his car should be driven out of the garage and that they should rush me to ABUTH. We started the journey, but before driving out of Soba, it started raining heavily. Musbahu, who was not only my good friend and neighbour, was the driver. He wanted to turn on the long-distance light, but he couldn’t because of confusion. He phoned Alhaji Garba to say the car’s lighting system was faulty. Another car was sent with another driver, and we journeyed to Zaria.

The road from Soba to Zaria is in poor condition. So many potholes on the main road, and the shoulder is no longer in existence in most parts of the road. I was lying with my head on the lap of my wife, in extreme pain. With every bump into an unavoidable pothole on the road, the incessant pain in my head increased. I lost hope. I started whispering Kalimatus Shahada, hoping it would be my last word, since I already knew we couldn’t reach the hospital while I was still alive.

With the pain still sustained, we reached Zaria while it was still raining. Instead of going to ABUTH, some argued that with the urgency of my situation, we should head to a private hospital, and that the bureaucratic process of ABUTH before my treatment could worsen my situation. We headed to Pal Hospital. They quickly examined me while I was telling the doctor I knew I couldn’t make it. The doctor, from my history, suspected immediately that I was suffering from cerebral malaria. He argued that because I was out of Nigeria for a very long time, my immune system might not be robust against malarial parasites, and that worsened my situation.

Alhamdulillah. I am writing this because I survived. After the medication, I finally recovered. But this whole experience has reminded me again that it doesn’t matter our age; we can die anytime. Our health is pretty tenuous, and death is always around the corner. May we live our lives with God consciousness so that we go to paradise in the hereafter.

Sadam Abubakar wrote via sadamabubakarsoba@gmail.com.

By Bashir Abubakar Umar 

Malaria remains one of the world’s most persistent public health challenges, particularly in tropical and subtropical regions. To gather more information about the disease, I contacted Dr Musa Muhammad Bello, who works with Aminu Kano Teaching Hospital (AKTH) in the Department of Community Medicine. It is a life-threatening disease caused by parasites of the Plasmodium genus, transmitted to humans through the bites of infected female Anopheles mosquitoes.

Despite advances in medicine and public health campaigns, malaria continues to claim hundreds of thousands of lives each year, with children under five and pregnant women among the most vulnerable groups.

Infection with Plasmodium falciparum, P. vivax, P. ovale, or P. malariae primarily causes the disease. The infection begins when an infected mosquito bites a person, releasing parasites into the bloodstream. These parasites travel to the liver, where they mature and multiply before re-entering the bloodstream to infect red blood cells.

Malaria is not spread directly from person to person; instead, it requires the mosquito as a vector. However, it can also be transmitted through blood transfusions, organ transplants, or from an infected mother to her child during pregnancy.

Symptoms of malaria typically appear 7 to 10 days after infection. Early signs include fever, chills, headaches, muscle aches, sweating, body weakness, vomiting, diarrhoea, and a change in taste. In severe cases, the disease can lead to anaemia, respiratory distress, organ failure, and even death if left untreated. Diagnosis is usually confirmed through laboratory methods, such as microscopic examination of blood smears or rapid diagnostic tests, which detect malaria antigens in the blood.

Malam Abdurrahman, a resident of Dorayi Babba, said that the mosquitoes used to bite him not only at night, but he also advises the general public to use nets for prevention.

Prevention is the most effective way to reduce malaria cases and deaths. Sleeping under insecticide-treated mosquito nets can significantly reduce the risk of being bitten at night, while indoor residual spraying kills mosquitoes that rest inside homes.

Eliminating stagnant water, clearing drainage systems, using window and door nets, applying body lotion, and fumigation are all measures that help reduce mosquito breeding grounds. In some high-risk regions, preventive antimalarial medication is recommended for vulnerable groups, including pregnant women, children under 5, and foreigners.

Hajiya Rabi’a, a resident of Tudun Yola, said that the mosquitoes prevent her from sleeping at night due to their bites, even when she is in a net.

Treatment for malaria depends on the type of Plasmodium parasite and the severity of the infection. Artemisinin-based combination therapies are currently the most effective treatments for P. falciparum malaria, which is the most dangerous form. Early and proper treatment is essential to prevent severe illness and to help break the cycle of transmission.

The global impact of malaria remains significant. According to the World Health Organisation, Africa accounts for more than 90% of malaria cases and deaths worldwide. Beyond its toll on health, the disease hampers economic development by reducing productivity, increasing healthcare costs, and deepening poverty in affected communities.

Although malaria is both preventable and treatable, it persists due to environmental factors, limited healthcare access, and poverty in many areas. A continuous global effort is essential, combining prevention methods, effective treatment, public education, and ongoing vaccine research. With dedication and coordinated actions, the world can progress towards eradicating malaria and creating healthier, safer communities.

Bashir Abubakar Umar wrote via baabum2002@gmail.com.

By Anas Abbas

Residents of some areas in Kano State are sounding alarm over a severe mosquito infestation linked to rampant refuse accumulation.

The situation has raised public health concerns, particularly regarding the rising cases of malaria, a disease predominantly transmitted by mosquitoes.

Situation on ground

In several neighborhoods, stagnant water and heaps of garbage have created ideal breeding conditions for mosquitoes. Local residents report an alarming increase in mosquito populations, which they believe is directly contributing to a surge in malaria cases.

Residents’ Concerns

Local residents have voiced their frustrations regarding the government’s failure to address this growing health crisis. They highlight that the absence of mosquito control initiatives, such as spraying insecticides and promoting sanitation, has allowed mosquito populations to flourish.

“We see mosquitoes everywhere, and they are the main cause of malaria in our community,” lamented Khadija Umar. “The government needs to take action before more lives are lost.”

“We are overwhelmed by mosquitoes, and many of us are falling ill with malaria,” Amina Yusuf, a resident of Danrimi area. “We need immediate help from the government.”

The lack of effective waste management and sanitation services in these communities have exacerbated the problem. Many families are struggling to cope with the health implications, with some reporting multiple cases of malaria within their households. “It’s heartbreaking to see our loved ones suffer because of something that can be prevented,” lamented Saad musa.

The call for government action

Residents are calling on the Kano State government to take urgent action.

They are demanding the implementation of mosquito control initiatives, including regular insecticide spraying and improved waste management practices.

Additionally, public health campaigns aimed at educating the community about malaria prevention are seen as essential steps toward tackling this growing crisis.

Health expert warns that without immediate intervention, the situation could worsen, leading to further health complications for vulnerable populations.

Usman Sani Sa’id, a health practitioner, is urging the government to prioritize initiatives that educate communities on mosquito eradication and distribute mosquito nets.

“Malaria disproportionately affects developing countries, with poor hygiene being a significant contributor. However, when communities maintain cleanliness by sweeping homes and disposing of sewage, mosquitoes are less likely to thrive,” he emphasizes.

Sa’id, highlighted the necessity of community education, asserting, “It is imperative that we raise awareness about malaria prevention. The government must adopt measures such as spraying insecticides and implementing other preventive strategies to safeguard the health and lives of our residents.” His passionate plea underscores the urgent need for a collaborative effort in combating malaria and enhancing public health.

By Uzair Adam Imam 

Over 3.1 million children would receive supplements against malaria, while 2.8 million children would be dewormed, the Kano state commissioner for Health, Dr Aminu Ibrahim Tsanyawa, said.

The Commissioner disclosed that there would be childhood immunization for about 68,135 children, adding that antenatal services would also be provided.

Tsanyawa stated this during a media briefing ahead of the exercise, which begins on Tuesday, July 5, 2022.

He noted that the Kano State Government had identified about 12 million children to receive the seasonal Malaria Chemoprevention for July to October 2022 in the 44 government areas of the state.

The Daily Reality learned that the previous exercise conducted in January 2022 recorded huge success with Vitamin A coverage of more than 88 per cent.

In his words, Tsanyawa added, “the aim was to prevent uncomplicated and similar proportion of severe malaria incidences amongst the age group.”

“We are integrating the two exercises, although the MNCHW is a week-long event conducted twice every year.”

“It has a high impact on low-cost interventions offered to pregnant women and children below the age of five to increase coverage level of preventive and curative health indicators,” Tsanyawa stated.

By Uzair Adam Imam 

Kano State has recorded more than 2.8 million hospital visits due to the menace of malaria in 2021, the Commissioner for Health, Aminu Tsanyawa, said.

Tsanyawa spoke yesterday at a press briefing to commemorate 2022 World Malaria Day.

This, according to Tsanyawa, made the disease the single most common reason for about 60 per cent of outpatient visitations and consultations in Kano state. 

However, Tsanyawa recalled that the Kano state government, in collaboration with its partners, did its best to mitigate the menace.

He said, “between July and October 202, the state government, in collaboration with its partners, administered more than 13,110,365 doses of malaria prevention drugs (sulfadoxine-pyrimethamine and Amodiaquine SP+AQ) with a view to preventing malaria and deaths in children under the age of five.”

Furthermore, Tsanyawa sounded a clarion call on residents to avail their children aged 3-59 months for the forthcoming 4-day cycles of mass distribution of malaria prevention drugs. 

By Hussaina Sufyan Ahmad

MEP Advocacy Communication and Social Mobilisation (ACSM) Officer, Eunice Subair, disclose that 90,000 malaria deaths are recorded yearly in Nigeria at the quarterly meeting of the Civil Society in Malaria Control, Immunisation and Nutrition (ACOMIN), held in Abuja on October 3, 2021.

Subair noted that progress is being made to control malaria, with prevalence going down from 42% in 2010 to 27% in 2015, and 23% in 2018 (MIS 2010 and NDHS 2018).

She said malaria was still a significant burden in Nigeria, and that the Seasonal Malaria Chemoprevention (SMC), was ongoing in all the eligible states.

She also requested the media to help in achieving the malaria elimination goal by making the disease a topmost topic of discourse to the public by including malaria issues in their programmes. And educating the public on the importance of sleeping inside ITNs every night to protect themselves against mosquito bites, among others.

Subair stressed the need for pregnant women to visit clinics at the earliest stage of pregnancy, to undergo antenatal care and admonished Nigerians to always go to the hospital whenever they suspect their systems to have malaria symptoms.

The Coordinator of the Civil Society in Malaria Control, Immunisation and Nutrition (ACOMIN), Ayo Ipinmoye, said more than three billion people, about half of the world’s population, are at risk of malaria, which is treatable and preventable.

He noted that the recently upgraded customised management information system would save the Federal Government about N293,700,000 in logistics cost, out of the N890m budgeted for the implementation of the malaria Intervention programme.

He further explained that the deployment of technology in data collection would help check malaria commodities, such as the ACT and insecticide-treated net.

He said with the latest upgrade of ACOMIS, data could be collected from the field on a real-time basis across all implementing states.