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  1. Tom E Fletcher and
  2. N J Beeching
  1. Tropical and Infectious Disease Unit, Royal Liverpool University Hospital, Liverpool, UK
  1. Correspondence to Dr Nick J Beeching, Tropical and Infectious Disease Unit, Royal Liverpool University Hospital, Prescot Street, Liverpool L7 8XP, UK; tomfletcher{at}


Malaria is a life-threatening disease, with its largest impact being due to Plasmodium falciparum infection in Africa. Military populations continue to be at a high risk of malaria and reported case series have frequently revealed poor compliance with preventative measures. The symptoms of malaria are non-specific and its management depends on awareness of the diagnosis and early recognition and treatment. This is aided by new and simple rapid diagnostic tests, but these should not replace the examination of blood films if these are available. Artemisinin combination therapy provides a more rapid and dependable cure of uncomplicated P falciparum infection, with artesunate now being the drug of choice in severe infection.

  • Malaria
  • Military
  • Clinical presentation
  • Plasmodium Falciparum
  • Rapid Diagnostic tests
  • Severe malaria

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