Malaria and COVID-19: unmasking their ties

Abstract The incidence and mortality of COVID-19, according to the World Health Organization reports, shows a noticeable difference between North America, Western Europe, and South Asia on one hand and most African countries on the other hand, especially the malaria-endemic countries. Although this...

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Main Authors: Mogahed Ismail Hassan Hussein, Ahmed Abdalazim Dafallah Albashir, Omer Ali Mohamed Ahmed Elawad, Anmar Homeida
Format: Article
Language:English
Published: BMC 2020-12-01
Series:Malaria Journal
Subjects:
Online Access:https://doi.org/10.1186/s12936-020-03541-w
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author Mogahed Ismail Hassan Hussein
Ahmed Abdalazim Dafallah Albashir
Omer Ali Mohamed Ahmed Elawad
Anmar Homeida
author_facet Mogahed Ismail Hassan Hussein
Ahmed Abdalazim Dafallah Albashir
Omer Ali Mohamed Ahmed Elawad
Anmar Homeida
author_sort Mogahed Ismail Hassan Hussein
collection DOAJ
description Abstract The incidence and mortality of COVID-19, according to the World Health Organization reports, shows a noticeable difference between North America, Western Europe, and South Asia on one hand and most African countries on the other hand, especially the malaria-endemic countries. Although this observation could be attributed to limited testing capacity, mitigation tools adopted and cultural habits, many theories have been postulated to explain this difference in prevalence and mortality. Because death tends to occur more in elders, both the role of demography, and how the age structure of a population may contribute to the difference in mortality rate between countries were discussed. The variable distribution of the ACEI/D and the ACE2 (C1173T substitution) polymorphisms has been postulated to explain this variable prevalence. Up-to-date data regarding the role of hydroxychloroquine (HCQ) and chloroquine (CQ) in COVID-19 have been summarized. The article also sheds lights on how the similarity of malaria and COVID-19 symptoms can lead to misdiagnosis of one disease for the other or overlooking the possibility of co-infection. As the COVID-19 pandemic threatens the delivery of malaria services, such as the distribution of insecticide-treated nets (ITNs), indoor residual spraying, as well as malaria chemoprevention there is an urgent need for rapid and effective responses to avoid malaria outbreaks.
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spelling doaj.art-ad49b73a1bac47d19f9b43c3a6a0aa922022-12-21T19:56:36ZengBMCMalaria Journal1475-28752020-12-0119111010.1186/s12936-020-03541-wMalaria and COVID-19: unmasking their tiesMogahed Ismail Hassan Hussein0Ahmed Abdalazim Dafallah Albashir1Omer Ali Mohamed Ahmed Elawad2Anmar Homeida3Faculty of Medicine, University of GeziraFaculty of Medicine, University of GeziraFaculty of Medicine, University of GeziraFaculty of Medicine, University of GeziraAbstract The incidence and mortality of COVID-19, according to the World Health Organization reports, shows a noticeable difference between North America, Western Europe, and South Asia on one hand and most African countries on the other hand, especially the malaria-endemic countries. Although this observation could be attributed to limited testing capacity, mitigation tools adopted and cultural habits, many theories have been postulated to explain this difference in prevalence and mortality. Because death tends to occur more in elders, both the role of demography, and how the age structure of a population may contribute to the difference in mortality rate between countries were discussed. The variable distribution of the ACEI/D and the ACE2 (C1173T substitution) polymorphisms has been postulated to explain this variable prevalence. Up-to-date data regarding the role of hydroxychloroquine (HCQ) and chloroquine (CQ) in COVID-19 have been summarized. The article also sheds lights on how the similarity of malaria and COVID-19 symptoms can lead to misdiagnosis of one disease for the other or overlooking the possibility of co-infection. As the COVID-19 pandemic threatens the delivery of malaria services, such as the distribution of insecticide-treated nets (ITNs), indoor residual spraying, as well as malaria chemoprevention there is an urgent need for rapid and effective responses to avoid malaria outbreaks.https://doi.org/10.1186/s12936-020-03541-wMalariaCOVID-19ACE2Hydroxychloroquine and chloroquineMalaria and COVID-19 syndemicsMalaria service
spellingShingle Mogahed Ismail Hassan Hussein
Ahmed Abdalazim Dafallah Albashir
Omer Ali Mohamed Ahmed Elawad
Anmar Homeida
Malaria and COVID-19: unmasking their ties
Malaria Journal
Malaria
COVID-19
ACE2
Hydroxychloroquine and chloroquine
Malaria and COVID-19 syndemics
Malaria service
title Malaria and COVID-19: unmasking their ties
title_full Malaria and COVID-19: unmasking their ties
title_fullStr Malaria and COVID-19: unmasking their ties
title_full_unstemmed Malaria and COVID-19: unmasking their ties
title_short Malaria and COVID-19: unmasking their ties
title_sort malaria and covid 19 unmasking their ties
topic Malaria
COVID-19
ACE2
Hydroxychloroquine and chloroquine
Malaria and COVID-19 syndemics
Malaria service
url https://doi.org/10.1186/s12936-020-03541-w
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AT ahmedabdalazimdafallahalbashir malariaandcovid19unmaskingtheirties
AT omeralimohamedahmedelawad malariaandcovid19unmaskingtheirties
AT anmarhomeida malariaandcovid19unmaskingtheirties