Professor William Brieger discusses the common confusions in dealing with febrile illnesses in urban settings
Assume that you are a general practitioner or a staff nurse in a clinic or health centre in the crowded
Mushin area of Lagos, Nigeria. You are discussing with a 34-year-old male patient who is complaining of fever and body aches. He tells you he has ‘malaria’.
He has no history of travelling out to his home village in the past few months. You have heard that there
is not much malaria in Lagos, but you know there are big mosquitoes, and the most common complaint
among your clients is ‘malaria’. There are a variety of malaria drugs in your pharmacy, and from experience you know your clients will be happy if you prescribe one of the cheaper, older brands for them.
You decide that’s the easiest road to take … but is it the correct one?
http://www.africa-health.com/articles/january_2011/Malaria.pdf
Assume that you are a general practitioner or a staff nurse in a clinic or health centre in the crowded
Mushin area of Lagos, Nigeria. You are discussing with a 34-year-old male patient who is complaining of fever and body aches. He tells you he has ‘malaria’.
He has no history of travelling out to his home village in the past few months. You have heard that there
is not much malaria in Lagos, but you know there are big mosquitoes, and the most common complaint
among your clients is ‘malaria’. There are a variety of malaria drugs in your pharmacy, and from experience you know your clients will be happy if you prescribe one of the cheaper, older brands for them.
You decide that’s the easiest road to take … but is it the correct one?
http://www.africa-health.com/articles/january_2011/Malaria.pdf
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