+

Are You at the Risk of Malaria? Spot Malaria Symptoms Early and Who Are More at Risk - Dr N.R. Shetty

Malaria remains a serious and sometimes life‑threatening infection, especially during the monsoon season when mosquitoes breed rapidly. It is transmitted through the bite of an infected female Anopheles mosquito, making early recognition of symptoms and prompt testing crucial.


Who is more at risk?

Malaria can affect anyone, but certain groups face a higher danger of severe disease. Infants and children under five years of age, who have not yet built up partial immunity, are particularly vulnerable. Pregnant women are also at increased risk because pregnancy alters immunity and malaria can affect both the mother and the unborn child by causing anaemia, low birth weight, and preterm delivery.

People with weakened immune systems, such as those living with HIV/AIDS or on long‑term steroids or chemotherapy, are more likely to develop serious illness if they contract malaria. Travelers or migrants coming from areas where malaria is rare are also at higher risk because they lack prior exposure and immunity, so even a single bite can lead to a severe episode.

Early signs and symptoms to watch for

Malaria often starts with flu‑like symptoms, which can make it easy to mistake it for a simple fever or viral infection. Common early signs include high fever, chills with intense shivering, headache, body aches, fatigue, nausea, vomiting, and loss of appetite. Some patients may also experience sweating, diarrhoea, and abdominal pain. If the fever is with chills and shivers on the second or third day, it could signal malaria.

In more severe cases, symptoms may progress to fast breathing, shortness of breath, seizures, yellowing of the skin or eyes (jaundice), or dark or blood‑tinted urine, these are medical emergencies and require immediate hospital care. Because malaria can mimic other fevers, it is important to seek medical advice promptly if there is fever and a recent history of mosquito bites or travel to a malaria‑prone area. Early testing and diagnosis, using blood smear or rapid diagnostic tests, can help differentiate malaria from other infections and guide appropriate treatment.

How to reduce risk

Prevention is key. It is important to use mosquito nets, especially treated nets, wear full‑sleeved light‑coloured clothing, and apply mosquito repellents in the evenings and at night. One should avoid stagnant water, uncovered pots, and dirty, damp corners around home, as these become breeding grounds for mosquitoes. Clearing overgrown bushes, using indoor residual spraying where recommended, and ensuring proper drainage can further reduce mosquito exposure.

In high‑risk situations, such as travelling to endemic zones, doctors may recommend preventive medicines after carefully assessing individual risk. Regular health check‑ups and awareness campaigns can also strengthen early detection and improve outcomes. Small, consistent steps in household and community hygiene, combined with timely medical care, can significantly reduce the burden of malaria.

Disclaimer: The views expressed in this article are of the author and not of Health Dialogues. The Editorial/Content team of Health Dialogues has not contributed to the writing/editing/packaging of this article.

facebook twitter