HISTORY AND EPIDEMIOLOGY OF MALARIA PARASITES – LITERATURE REVIEW

The existence of malaria as an enemy of human kind certainly predates written history for thousands of year. Malaria has been  a deadly scourge,  and it remains one  today.  From American president  john Adam  who nearly succumbed   to  malaria in Amsterdam while on  a diplomatic mission, back down the time line to the early  Chinese, Greeks and Romans,  malaria has  not spared its victims rich  or poor. 

It wasn’t  until  19th  century that the information  about the true    causes of malaria became  known. Yet despite the knowledge,  malaria  still ravages sub –Sahara Africa, south east, Asia and  Latin America,  taking   as its victims mainly young children and pregnant women . malaria parasite was discovered by Charles  Louis Alphonse laveran on  20 October  1880   while examining  blood from a solider suffering   from malaria. Dr Laveran saw crescent  shaped bodies that were nearly transparent except for one small dot  of pigment  after examining blood   from  192  other  malaria patients to be identified the  same crescent in  148  of the sample.  Later he recognized the four distinct forms in human blood that would prove to be the malaria parasite  in different stages of its  life cycle . Laveran received the  noble prize in  1907  for  the discovery of the single –celled  protozoa that causes malaria 

On  20 august  1897,  Ronald  a  British officer in  the India medicine service was  the first to demonstrate that malaria  parasites could be transmitted from  infected  patients to mosquitoes. He also demonstrated in his investigations of bird  malaria that mosquitoes  could  transmit  malaria  parasites from bird to bird. Ross was awarded the Nobel prize for his discovery in  1902.

In  1898 -1899 a group of  Italian scientist  (G.  Crrassi, A Bignami, G- Bastianelli, A.  Dionisi, A. Cell) confirmed that human malaria parasites pass through the same developmental  stages in the mosquito as the bird  parasites  observed by Ross.

1n  1948, the  malaria parasite was  discovered in the human tissue, malaria parasites was  detected in the liver at  rhesus monkeys infected with the  primate species . They found similar stages in the livers of humans infected with p vivax  and later  confirmed the same for  p.  falciparum. This  public  health work saved the lines  of  thousands of workers and developed the  method  used in future  public   health campaign  against this  disease.

The first effective treatment of malaria came from the bark at cinchona tree, which contain quinine. This tree grows on the slopes at the andes mainly in peru. A tincture made of this natural product was used by the inhabitants of peru to control malaria and the  jesuist  introduced this practice to  Europe during the  1840s  where  it was rapidly accepted. It was not  useful in 1820  that the active ingredient quinine  was extracted from the bark of  cinchona  tree, and   isolated by the  French chemists pierre Joseph  pelletetier and Joseph bienaime caventon.

In  the early twentieth century, before  antibodies, patients with syphilis were  intentionally  infected with malaria  to create a fever following  the work of  Julius Wanger Jaurogy by  accurately   controlling the  fever with quinine, the  effects of both  syphilis and malaria could  be  minimized.

Although the  blood stage and mosquito stages  of  the malaria life  cycle were identified  in the  19th  and early 20th  centuries, it was not  until  1980s  that the  latent form of the parasite was observed .   the discovery  of this  latent form of the  parasitic  finally explained  why people  could  appear  to be  cured of malarial  but still relapse  years   after  the parasite had   disappeared  from  their blood  stream.

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