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Sale of chloroquine in the street in Niamey (Niger)



Sale of chloroquine in the street in Niamey (Niger)



Bulletin de la Societe de Pathologie Exotique 92(1): 31-32



Self-treatment of malaria with chloroquine is extremely common in West Africa for the febrile attacks self-diagnosed as a presumed malaria case. A survey was conducted for one year in Niamey to assess the importance of the self-treatment practice. Transmission of malaria is permanent along the river banks and seasonal in some suburbs. Chloroquine is made available by local ambulatory sellers. A sample of 199 persons purchase on average four tablets each which is less than the curative dose recommended by WHO. Self-medication is an adequate practice for reaching the primary goal of malaria strategy in sub-Saharan Africa, i.e. to reduce morbidity and mortality through prompt therapy. Developing this practice is a top public health priority. Even if the dose is not appropriate, self-medication protects against serious attacks without preventing immunization and does not seem to induce greater risk of extension of chloroquine-resistance.

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Accession: 047303235

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PMID: 10214518


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