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Malaria: Symptoms, Prevention and Treatment Categories

How malaria spreads, warning signs that need urgent testing, and the prevention tools recommended by health authorities.

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Medically reviewed by

Dr. Samuel Otieno, MBChB, MPH

Public Health Physician, Nairobi

Review dates

Published 2026-04-15
Last review 2026-05-20
Next review 2026-11-20

Jurisdictions

KenyaIndiaWHO Global

Overview

Malaria is a life-threatening disease caused by Plasmodium parasites transmitted through bites of infected Anopheles mosquitoes. It is preventable and curable, but delayed treatment can be fatal, particularly in children under five.

Signs and symptoms

Fever, chills, headache and fatigue typically appear 10–15 days after the infective bite. In malaria-endemic areas, any fever should be tested promptly — symptoms alone cannot confirm or exclude malaria.

Urgent warning signs

Confusion, seizures, difficulty breathing, dark urine or extreme weakness may indicate severe malaria. This is a medical emergency — seek care immediately using your local emergency number.

Prevention

Insecticide-treated nets, indoor residual spraying, and preventive medicines for high-risk groups are core WHO-recommended tools. Two malaria vaccines (RTS,S and R21) are recommended for children in endemic areas per national schedules.

Treatment categories

Artemisinin-based combination therapies (ACTs) are the standard treatment category for uncomplicated P. falciparum malaria. Drug choice, dosing and duration are determined by a clinician following national guidelines — never self-prescribe.

Sources & Citations

  1. [1]Malaria fact sheet — WHO
  2. [2]Kenya Ministry of Health — MoH Kenya
  3. [3]National Center for Vector Borne Diseases Control — MoHFW India

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