Jump to ContentJump to Main Navigation
Divining without SeedsThe Case for Strengthening Laboratory Medicine in Africa$
Users without a subscription are not able to see the full content.

Iruka N. Okeke

Print publication date: 2011

Print ISBN-13: 9780801449413

Published to Cornell Scholarship Online: August 2016

DOI: 10.7591/cornell/9780801449413.001.0001

Show Summary Details

Fever: Is It Malaria?

Fever: Is It Malaria?

Chapter:
(p.21) 2 Fever: Is It Malaria?
Source:
Divining without Seeds
Author(s):

Iruka N. Okeke

Publisher:
Cornell University Press
DOI:10.7591/cornell/9780801449413.003.0003

This chapter discusses various issues associated with the diagnosis of malaria in Africa. One of these is the practice of diagnosing malaria based on symptoms alone. Given the high prevalence of the disease, if 80 percent of fevers in a locality are actually malaria, then anyone diagnosing all fevers as malaria will be right eight out of ten times. While this outcome is fine for the lucky majority, the prognosis for patients with other infections is grim. The chapter goes on to consider diagnostic tests for malaria and three important challenges associated with their use. These are cost, test quality, and getting clinicians in endemic Africa, who have for decades been educated to believe that “fever is malaria,” to use the tests and pay heed to the results. The final section focuses the low priority given to diagnostic development and deployment for malaria control.

Keywords:   fever, infectious disease, diagnosis, Africa, diagnostic tests, malaria

Cornell Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs, and if you can't find the answer there, please contact us.