3.a. Communicable diseases have causes and impacts with mitigation and response strategies which have varying levels of success Flashcards

1
Q

How much of Ethiopia’s land area is malaria endemic

A

75%-2/3 of the population live in these areas

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2
Q

Where are the areas of highest risk to malaria

A

The western lowlands

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3
Q

When do transmission levels peak

A

After the rainy season between June and November. In the midlands, transmission is seasonal, with occasional epidemics

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4
Q

Which areas are malaria free

A

The central highlands

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5
Q

Where does malaria thrive (environmental cause)

A
  • In warm, humid climates and where stagnant surface water provides ideal breeding habitats for mosquitoes
  • In Ethiopia these habitats are strongly influenced by altitude
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6
Q

Where is malaria prevalent in the lowlands and not in the highlands (environmental cause)

A
  • In the western lowlands the temperature and humidity are high throughout the year
  • In the highlands there is average low temperature-slow development of mosquitoes
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7
Q

What human factors have encouraged the spread of the disease

A

Population movements, urbanisation, irrigation schemes and the misuse of malarial drugs

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8
Q

What happens every year at harvest and how does this affect the spread of malaria in Ethiopia

A
  • Irrigation projects in the Awash Valley and in Gambella province, with the construction of canals, micro-dams and ponds
  • Urbanisation has a similar effect: flooded excavations, and garbage dumps
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9
Q

Why is misuse of malarial drugs encouraging the spread

A

The malarial parasites are becoming increasingly drug-resistant

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10
Q

Who is hardest hit from the disease

A

The poor, often living in crudely built dwellings that offer few barriers to mosquitoes

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11
Q

How many episodes of malaria a year do Ethiopians suffer from

A

5 million which kills around 70,000 people

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12
Q

What debilitating effects does malaria have

A

Causes absenteeism from work, slowing economic growth and reinforcing the cycle of poverty

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13
Q

What is the cost to health services in Ethiopia

A

Malaria absorbs 40% of national health expenditure and accounts for 10% of hospital admissions and 12% of health clinic visit

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14
Q

How does malaria impact on food security and the environment

A

The western lowlands are resource-rich, with considerable potential to raise food production. But malaria holds back development.
This problem has a knockback effect on the highlands. As this area is malaria-free it supports unusually high population densities. As a result, its farming resources have been overexploited, resulting in widespread land degradation

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15
Q

What are direct actions set out by the Ethiopian government to mitigate malaria

A

Direct action involves measures to eradicate mosquitoes, including spraying of dwellings with insecticides and managing the environment to destroy breeding sites for mosquitoes

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16
Q

What are some strategies set out by the Ethiopian government to prevent malaria

A

Mass publicity campaigns to minimise potential mosquito breeding sights; providing early diagnosis and treatment of malaria; and distributing insecticide treated bed nets to all households in infected areas

17
Q

As a result of the governments efforts what has happened

A

Death rates from malaria have halved between 2000 and 2010. There have been no malaria epidemics in the country since 2003