03 Sep 13 03 Sep 13

Chad: MSF combats alarming increase in malaria

Médecins Sans Frontières/Doctors Without Borders (MSF) has launched an emergency intervention in southeast Chad to respond to an alarming escalation in malaria cases.

Since the beginning of August, MSF has seen a drastic jump in malaria at its long term project in Am Timan, Salamat region, where malaria has accounted for more than 80 percent of consultations.

“Several weeks ago my eight-year-old daughter, Salimata Ali, started to shiver and complained of a headache. We took her to a local healer who gave her tablets, but she continued to shiver and couldn’t speak properly,” says her mother, Halima Ibrahim.

“The next day the head of my village came to our compound with doctors from MSF. They tested her and then gave her medication and three days later she was a lot better. Without MSF, Salimata would have died, like so many other children in our village.”

Many of the severest cases are being seen in children under the age of five. At its outreach sites, MSF teams say 73 percent of all patients they are treating are also suffering from the mosquito borne disease.

Emergency malaria response
Halima Ibrahim and her daughter Salimata Ali

“The goal of our emergency response is to improve the early diagnosis and treatment of non-severe malaria and to improve the management of severe and complicated forms of the disease,” says Jason Mills, MSF Head of Mission in Chad.

“Many people who live outside the town of Am Timan have limited access to healthcare. 

"The majority of those who are dying of malaria right now are dying in their homes.”

In response, MSF has deployed an emergency medical team to respond to the situation.

The team is supporting local health centres with malaria diagnostic tests and treatment supplies, training Ministry of Health staff and strengthening epidemiological surveillance.

Since the emergency intervention began the number of malaria cases MSF has seen has jumped ten-fold.

At the end of the first week of August teams reported 1,228 new malaria cases and by end of the month MSF teams were reporting more than 14,021 new cases of malaria in August alone.

Limited diagnostic and treatment supplies

"While malaria is endemic in Chad, the rate of infections this year is beyond all forecasts," says Cristina Mach, MSF Medical Coordinator in Chad.

“Existing diagnosis and treatment supplies in the country are severely strained."  

In addition, MSF has also increased its capacity to treat severe malaria cases at the hospital in Am Timan town by erecting a malaria treatment tent within the hospital compound where uncomplicated cases can be admitted for treatment and observation on a daily basis.

To date, within a two weeks period, more than 1,400 patients have been treated in the tent. MSF is also planning to distribute mosquito nets to households in affected areas and to conduct a public education campaign.

MSF plans to carry out its emergency response to the malaria outbreak in Am Timan town and surrounding areas until the end of the rainy season, in late November.

Find out more about MSF’s work in Chad and our work with malaria