Abstract

T tropical disease malaria is transmitted by mosquito bites and caused by the infection of red blood cells by a Plasmodium protozoan parasite, with travellers from malariafree countries being very vulnerable to the disease once infected (World Health Organization, 2013). The most common malarial parasite, Plasmodium falciparum, can cause a range of serious illnesses including renal failure, pulmonary oedema, disseminated intravascular coagulation and severe anaemia (National Institute for Health and Care Excellence (NICE), 2010). It is also the species of malarial parasite most likely to be fatal. In the UK in 2012, there were 1378 identified cases of imported malaria, two of which resulted in death (Public Health England, 2013a). Combining chemoprophylaxis with steps to avoid mosquito bites when travelling to countries with a high risk of infection can provide significant protection (National Travel Health Network and Centre, 2013).

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