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      <title>Malaria in Malawi by Dennis Mwandira</title>
      <link>https://padlet.com/n0643664/6nkd61vzt99n</link>
      <description>A blog  by Dennis Mwandira</description>
      <language>en-us</language>
      <pubDate>2017-11-10 09:48:21 UTC</pubDate>
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      <item>
         <title>Introduction</title>
         <author>n0643664</author>
         <link>https://padlet.com/n0643664/6nkd61vzt99n/wish/205622188</link>
         <description><![CDATA[<div>This article will explore the issues of Malaria in Republic of Malawi, also known as the warm Heart of Africa. It will look at the statistics of how the population has been affected by malaria and what the government and its local and international partners are doing to combat the issue. It will further look at the plans which are being set up to overcome this deadly disease.<br><br></div>]]></description>
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         <pubDate>2017-11-10 09:57:15 UTC</pubDate>
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         <title>Facts about Malawi</title>
         <author>n0643664</author>
         <link>https://padlet.com/n0643664/6nkd61vzt99n/wish/205623457</link>
         <description><![CDATA[<div>Malawi is a landlocked country in southern Africa covering an area of 118,484 square kilometres with a population of about 18,570,000. 18.1 % of the population live in urban areas while 83.9 % live in rural areas. The main source of income for many Malawians is Agriculture which is done using manual labour. Compared to the United Kingdom, life expectancy in Malawi low. Males have an average life expectancy of 58.7 years while females average life expectancy is 62.7 years. <br><br><strong>Map and location of Malawi in Africa</strong></div>]]></description>
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         <pubDate>2017-11-10 10:02:00 UTC</pubDate>
         <guid>https://padlet.com/n0643664/6nkd61vzt99n/wish/205623457</guid>
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      <item>
         <title>What is malaria?</title>
         <author>n0643664</author>
         <link>https://padlet.com/n0643664/6nkd61vzt99n/wish/205637321</link>
         <description><![CDATA[<div>Malaria is a tropical disease caused by a parasite <em>plasmodium falciparum</em> which is spread by a certain female type of mosquito called Anopheles. This mosquito carries the plasmodium parasite and when one has been bitten by this mosquito, the plasmodium is carried in the bloodstream to the liver and spleen where they multiplies. This causes the cells to burst open and thousands more parasites are released into the bloodstream. These new parasites enter and attack the red blood cells. The parasites continue to multiply and kill off the red blood cells. At this stage the person will start feeling unwell, this condition is known as malaria and If not treated it can be fatal.<br><br><br><br><br><br></div>]]></description>
         <enclosure url="https://www.nhs.uk/conditions/malaria/" />
         <pubDate>2017-11-10 10:57:00 UTC</pubDate>
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         <title> Statistics of malaria in Malawi</title>
         <author>n0643664</author>
         <link>https://padlet.com/n0643664/6nkd61vzt99n/wish/205829601</link>
         <description><![CDATA[<div>Malaria is the major cause of mortality and morbidity in Malawi especially affecting children under 5 year’s old and pregnant women. According to the Health Management Information System (HMIS) annual bulletin (2009) 30% of all outpatient visits in Malawian hospitals and health care centres are due to Malaria. In addition 52% of under 5 children are admitted in hospitals due to malaria. Malaria further causes 60% of all deaths among children under 5 in hospitals. The Malawi National Malaria indicator survey (2010) suggests that the number of malaria presumptive cases have risen from 3.7 million to 6.1 million between 2005 and 2009, which is an increases of 2.4 million cases.However, due to new measures which have been put in place to combat malaria such as the use of mosquito repellent, treated mosquito nets and better medication has led to the decreased death rates from 5.6% to 3.7% in 2004 and 2009 respectively. <figure class="attachment attachment--preview" data-trix-attachment="{&quot;contentType&quot;:&quot;image&quot;,&quot;height&quot;:173,&quot;url&quot;:&quot;null&quot;,&quot;width&quot;:290}" data-trix-content-type="image"><img src="null" width="290" height="173"><figcaption class="attachment__caption"></figcaption></figure><figure class="attachment attachment--preview" data-trix-attachment="{&quot;contentType&quot;:&quot;image&quot;,&quot;height&quot;:549,&quot;url&quot;:&quot;https://www.usaid.gov/sites/default/files/styles/732_width/public/news/04-27-2017/malariablog.jpg?itok=hIk2w2Rf&quot;,&quot;width&quot;:732}" data-trix-content-type="image"><img src="https://www.usaid.gov/sites/default/files/styles/732_width/public/news/04-27-2017/malariablog.jpg?itok=hIk2w2Rf" width="732" height="549"><figcaption class="attachment__caption"></figcaption></figure><br><br></div>]]></description>
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         <pubDate>2017-11-10 20:58:53 UTC</pubDate>
         <guid>https://padlet.com/n0643664/6nkd61vzt99n/wish/205829601</guid>
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      <item>
         <title>Importance of this topic.</title>
         <author>n0643664</author>
         <link>https://padlet.com/n0643664/6nkd61vzt99n/wish/206673210</link>
         <description><![CDATA[<div>Before 2015 Malawi’s economy was solely depended on donors and agriculture. However, since 2015 the country depends on farming and having malaria in the country can have some draw backs to the community.<br><br></div><div>One of the most obvious effect of malaria is that it affects Malawi’s health services in that those people who are ill will need to be diagnosed, treatment and in some cases hospital admissions. This will then affect people from not going to work in their farming fields which will result in less or no food production and children being absent from school, which will have a direct effect to the social economy of the country. Sach (2007) suggested that diseases such as malaria are the key factors that trap developing countries to poverty.<br><br></div><div>Furthermore, high levels of absenteeism of children in schools will have an impact of improving literacy rates and the education system as a whole. Since under 5 children are the most affected by malaria in terms of deaths, these high mortality rates results in high fertility rates as more families will try and replace the children lost to malaria. This results in a fast growing population which can lead to high youth and adult unemployment.<br><br></div><div>  <br><br></div>]]></description>
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         <pubDate>2017-11-14 12:44:59 UTC</pubDate>
         <guid>https://padlet.com/n0643664/6nkd61vzt99n/wish/206673210</guid>
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      <item>
         <title>What has been done so far?</title>
         <author>n0643664</author>
         <link>https://padlet.com/n0643664/6nkd61vzt99n/wish/206808899</link>
         <description><![CDATA[<div><br>The WHO conducted a phase three clinical trial in 7 sub Saharan countries including Malawi for a five year period. The trials main aim was to source information and decisions on vaccines, medical interventions and drugs. The trials focused on 4 main phases;</div><div> Phase 1:</div><div> A new intervention was research tested in a small group of people in order to evaluate its side effects, safety and also to come up with a safe range of dosage</div><div>Phase 2: </div><div>The intervention is now given to a larger group of people to find out if it is effective, evaluate its safety further and to finally select the required dosages.</div><div>Phase 3:</div><div> The intervention eventually   given to a larger number of the targeted population to confirm its effectiveness. More information is collected that will determine whether the drug or treatment can be used safely.</div><div>Phase 4: </div><div> Further Studies are done after on the drug's effectiveness in different communities and any side effects due to long-term use.</div><div> </div><div>The trial targeted 15000 young children and infants. Infants received the vaccine at 6, 10, and 14 weeks old while younger children received the vaccine between 5 and 17 months old. The trial they found that the younger children aged 5 and 17 months who received 3 doses of the vaccine reduced malaria cases by 39%, which is almost 4 out of 10 cases. While those on 4 doses of the vaccine reduced the malaria cases by 31.5%. However, those who did not receive the forth dose had a reduced protective benefit against malaria, meaning that the fourth dose is needed. The trial found that there was no protective benefits on infants with this vaccine (WHO, 2017)</div><div> <br><br></div>]]></description>
         <enclosure url="http://www.who.int/malaria/media/rtss-phase-3-trial-qa/en/" />
         <pubDate>2017-11-14 16:22:34 UTC</pubDate>
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      <item>
         <title>New programme (2018)</title>
         <author>n0643664</author>
         <link>https://padlet.com/n0643664/6nkd61vzt99n/wish/206826333</link>
         <description><![CDATA[<div>According to the United Nations health agency for regional Office for Africa (2017), Malawi will be one of the 3 countries in the world to take up the first malaria vaccine in the world starting in 2018. This vaccine has been developed to protect children from the malaria causing plasmodium parasite. WHO (2017) further states that the vaccine will be administered through injections and will be used alongside other measures of protecting children against malaria</div><div>&nbsp;<figure class="attachment attachment--preview" data-trix-attachment="{&quot;contentType&quot;:&quot;image&quot;,&quot;height&quot;:682,&quot;url&quot;:&quot;https://media.gettyimages.com/photos/testing-flood-victims-for-malaria-in-malawi-picture-id521628796&quot;,&quot;width&quot;:1024}" data-trix-content-type="image"><img src="https://media.gettyimages.com/photos/testing-flood-victims-for-malaria-in-malawi-picture-id521628796" width="1024" height="682"><figcaption class="attachment__caption"></figcaption></figure>Women getting tested for malaria</div>]]></description>
         <enclosure url="https://www.pmi.gov/where-we-work/malawi" />
         <pubDate>2017-11-14 16:48:45 UTC</pubDate>
         <guid>https://padlet.com/n0643664/6nkd61vzt99n/wish/206826333</guid>
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      <item>
         <title>References</title>
         <author>n0643664</author>
         <link>https://padlet.com/n0643664/6nkd61vzt99n/wish/219680457</link>
         <description><![CDATA[<div>NHS (2017).Available at <a href="https://www.nhs.uk/conditions/malaria/">https://www.nhs.uk/conditions/malaria/</a> [accessed: 27 November 2017] <br><br></div><div>Sach. J (2007) work on the poverty trap. Available at <a href="http://www.malaria.com/questions/malaria-society-effects">http://www.malaria.com/questions/malaria-society-effects</a> [accessed: 14/11/2017]<br>Taylor, T (2017) Malaria in Malawi. Available at <a href="https://www.google.co.uk/search?q=malaria+in+malawi+pictures&amp;rlz=1C1GCEA_enGB779&amp;tbm=isch&amp;source=iu&amp;ictx=1&amp;fir=DlRI7_jKdaXK1M%253A%252C21BLn_5AdZwaEM%252C_&amp;usg=__lWpED7Lhju6t6DQOZFTct3myRbE%3D&amp;sa=X&amp;ved=0ahUKEwj4rq_b6srYAhVDIlAKHTTXB28Q9QEINDAC#imgrc=xh1Je9jEukTs5M">https://www.google.co.uk/search?q=malaria+in+malawi+pictures&amp;rlz=1C1GCEA_enGB779&amp;tbm=isch&amp;source=iu&amp;ictx=1&amp;fir=DlRI7_jKdaXK1M%253A%252C21BLn_5AdZwaEM%252C_&amp;usg=__lWpED7Lhju6t6DQOZFTct3myRbE%3D&amp;sa=X&amp;ved=0ahUKEwj4rq_b6srYAhVDIlAKHTTXB28Q9QEINDAC#imgrc=xh1Je9jEukTs5M</a>: [accessed: 07 January 2018]<br><br><br></div><div>The Malawi project (2017) statistics. Available at <a href="http://www.malawiproject.org/about-malawi/statistics/">http://www.malawiproject.org/about-malawi/statistics/</a>  [accessed: 07 November 2017<br><br></div><div>WHO (2017) Q&amp;A on the Phase 3 trial results for malaria vaccine RTS, S/AS01. Available at <a href="http://www.who.int/malaria/media/rtss-phase-3-trial-qa/en/">http://www.who.int/malaria/media/rtss-phase-3-trial-qa/en/</a> [accessed: 14 November 2017]<br><br></div><div> <br><br></div>]]></description>
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         <pubDate>2018-01-09 11:52:04 UTC</pubDate>
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