Malaria Control Challenges
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Questions and Answers

What is one of the limitations of controlling mosquito vectors?

  • Financial constraints (correct)
  • Limited understanding of mosquito behavior
  • Lack of effective mosquito traps
  • Insufficient trained personnel
  • What is a major limitation of programs to treat and control malaria?

  • Inadequate trained medical personnel
  • Poverty in most endemic regions (correct)
  • Limited availability of antimalarial drugs
  • Inadequate medical infrastructure
  • What is a major challenge in treating malaria?

  • Inadequate medical infrastructure
  • Lack of effective diagnostic tests
  • Development of resistance to available drugs (correct)
  • Inadequate funding for treatment programs
  • What is a limitation in preventing malaria?

    <p>Lack of a very effective malaria vaccine</p> Signup and view all the answers

    What is a major gap in our understanding of malaria?

    <p>Incomplete understanding of Plasmodia biology</p> Signup and view all the answers

    What percentage of white blood cells are neutrophils?

    <p>40-70%</p> Signup and view all the answers

    Where are neutrophils formed?

    <p>Bone marrow</p> Signup and view all the answers

    What is the lifespan of neutrophils in the peripheral blood?

    <p>7-10 hours</p> Signup and view all the answers

    What is the function of neutrophils during an immune response?

    <p>To attack and kill pathogens</p> Signup and view all the answers

    What is the process by which neutrophils migrate toward the site of inflammation?

    <p>Chemotaxis</p> Signup and view all the answers

    What is the characteristic of neutrophils after staining with hematoxylin?

    <p>Stain neutral pink</p> Signup and view all the answers

    What is the role of neutrophils during the acute phase of inflammation?

    <p>To migrate to the site of inflammation</p> Signup and view all the answers

    What is the name given to the movement of neutrophils in and out of cells and tissue during infection?

    <p>Motility</p> Signup and view all the answers

    What does the Absolute Neutrophil Count (ANC) test measure?

    <p>The number of neutrophils and other granulocytes in a blood sample</p> Signup and view all the answers

    What is the unit of measurement for the ANC result?

    <p>cells/μL</p> Signup and view all the answers

    What is the normal range of ANC count in adults in terms of cell count?

    <p>1500-8000 cells/mm3</p> Signup and view all the answers

    What is neutropenia characterized by?

    <p>A decrease in circulating neutrophils</p> Signup and view all the answers

    What is the term for a reduced number of blood granulocytes?

    <p>Granulocytopenia</p> Signup and view all the answers

    What is the grade of neutropenia if the count is 1,000/uL?

    <p>Grade 2</p> Signup and view all the answers

    What is the normal range of mature/ segmented neutrophils in terms of cell count?

    <p>2500-6000 cells/mm3</p> Signup and view all the answers

    What is the purpose of the ANC test in laboratory examination?

    <p>To detect various medical conditions</p> Signup and view all the answers

    Study Notes

    Challenges in Controlling Malaria

    • Efforts to control mosquito vectors, particularly the A. gambiae complex, are hindered by financial constraints and insecticide resistance.
    • Poverty in endemic regions severely limits programs to treat and control malaria.
    • Malaria parasites have consistently developed resistance to available drugs.
    • A highly effective malaria vaccine is lacking.
    • Incomplete understanding of Plasmodia biology and host response to parasite infection hinders the development of new control strategies.

    White Blood Cells

    • There are five types of leukocytes found in peripheral blood: neutrophils, eosinophils, basophils (granulocytes), lymphocytes, and monocytes.
    • All white blood cells have nuclei, which distinguishes them from other blood cells and platelets.

    Neutrophils

    • Neutrophils are the most abundant granulocytes, occupying 40-70% of total white blood cells.
    • They are formed from stem cells in the bone marrow and released into peripheral blood, where they circulate for 7-10 hours before migrating into tissues.
    • Neutrophils are highly motile, allowing them to move in and out of cells and tissues during infection.
    • They are divided into two groups: neutrophil-killers and neutrophil-cagers.
    • Neutrophils are part of the innate immune system and respond to inflammation, migrating towards the site of inflammation through chemotaxis.

    Neutrophil Test

    • The Absolute Neutrophil Count (ANC) measures the number of neutrophils and other granulocytes present in a blood sample.
    • ANC is usually performed as part of a complete blood count to measure different blood cells.
    • The test measures mature and immature neutrophils, with abnormal counts associated with various medical conditions.

    Neutrophil Normal Range

    • The normal range of ANC count in adults: 1500-8000 cells/mm³.
    • The normal range of mature/segmented neutrophils: 2500-6000 cells/mm³.
    • The normal range of immature/band neutrophils: 0-500 cells/mm³.
    • In terms of percentage of WBC:
      • The normal range of ANC count in adults: 40-45%.
      • The normal range of mature/segmented neutrophils: 40-60%.
      • The normal range of immature neutrophils: 0-5%.

    Neutropenia

    • Neutropenia is a decrease in circulating neutrophils, characterized by a count of less than 1500/μL.
    • It results from decreased production of neutrophils or increased destruction of these cells.
    • Granulocytopenia is defined as a reduced number of blood granulocytes (neutrophils, eosinophils, and basophils).
    • Grading of neutropenia:
      • Grade 1: 1,500/μL - lower limit of normal
      • Grade 2: 1,000/μL -
      • ...

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    Description

    This quiz discusses the challenges in controlling malaria, including financial constraints, insecticide resistance, and the development of resistance to available drugs.

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